Provider Demographics
NPI:1740548585
Name:COPELAND, JEANNETTE CHRISTINE (LPCC)
Entity type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:CHRISTINE
Last Name:COPELAND
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 W LOS ALTOS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3020
Mailing Address - Country:US
Mailing Address - Phone:559-860-8083
Mailing Address - Fax:559-860-8083
Practice Address - Street 1:5633 W LOS ALTOS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-3020
Practice Address - Country:US
Practice Address - Phone:559-860-8083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5007-R101YP2500X
MO2012009265101YP2500X
CALPCC7895101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional