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General NPI Number Information
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NPI Number | 1740548585
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Entity Type | Individual
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Provider Name | JEANNETTE CHRISTINE COPELAND LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 5633 W LOS ALTOS AVE
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City | FRESNO
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State | CA
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Zip | 93722-3020
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Country | US
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Telephone | 559-860-8083
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 W LOS ALTOS AVE
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City | FRESNO
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State | CA
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Zip | 93722-3020
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Country | US
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Telephone | 559-860-8083
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Fax | 559-860-8083
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5007-R
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2012009265
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC7895
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License Number State | CA
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