MEDICARE: KATHRYN 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
1	101YP2500X	Professional Counselor	99144	TX

General Provider Information

NPI Number	:	1689503005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN COPELAND

Provider Business Mailing Address
First Line	:	8913 POCONO CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-2901
Country	:	US
Telephone Number	:	210-602-7346
Fax Number	:	210-602-7346

Provider Business Practice Location Address
First Line	:	8913 POCONO CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-2901
Country	:	US
Telephone Number	:	210-602-7346
Fax Number	:	210-602-7346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ KATHRYN COPELAND ” Practice Location

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