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NPI Code Detail

MEDICARE: JONI MICHELE COPELAND

MEDICARE: JONI MICHELE COPELAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorSC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13333OTHERSCMEDICARE

General Provider Information

NPI Number : 1376057836
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI MICHELE COPELAND
Provider Business Mailing Address
First Line : 124 MALLARD ST
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-4046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 LINWA BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-4486
Country : US
Telephone Number : 864-241-1040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2017
Last Update Date : 05/07/2026

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Directions to “ JONI MICHELE COPELAND ” Practice Location

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