Crystal Gillette Copeland Valid NPI
Individual provider · Mental Health Counselor · Fort Walton Beach, FL
- NPI
- 1619635273
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- MH22502 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-12-01
- Last updated
- 2023-08-20
Practice location
2514 Georgetown Ln
Fort Walton Beach, FL 32547-6818
(850) 461-8340