NPI | 1932250776 |
---|---|
Other Name | REESE COPELAND |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-16 |
Last Update Date | 2018-08-20 |