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Crystal Gillette Copeland
Mental Health Counselor in Fort Walton Beach, Florida
NPI 1619635273

Crystal Gillette Copeland is a Mental Health Counselor based in Fort Walton Beach, FL and is specialized in Mental Health. Crystal Gillette Copeland practices in Fort Walton Beach, FL. The NPI Number for Crystal Gillette Copeland is 1619635273 and holds a License No. IMH20777 (Florida).

The current practice location address for Crystal Gillette Copeland is 2514 Georgetown Ln, Fort Walton Beach, FL and can be reached out via phone at 850-461-8340.

Location: 2514 Georgetown Ln, Fort Walton Beach, FL, 32547-6818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619635273
Provider Name
Crystal Gillette Copeland
Credential
Provider Entity Type
Individual
Gender
Female
Address
2514 Georgetown Ln, Fort Walton Beach, FL, 32547-6818
Phone Number
850-461-8340
Fax Number
Provider Enumeration Date
12/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2514 Georgetown Ln
City
Fort Walton Beach
State
Florida
Zip
32547-6818
Phone Number
850-461-8340
Fax Number
person
Provider Business Mailing Address Details
Address
2514 Georgetown Ln
City
Fort Walton Beach
State
Florida
Zip
32547-6818
Phone Number
850-461-8340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH20777 (Florida)
Definition
Definition to come...
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