Provider Demographics
NPI:1811075989
Name:COPELAND, RONDA (LMFT)
Entity type:Individual
Prefix:MS
First Name:RONDA
Middle Name:
Last Name:COPELAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:
Other - Last Name:COPLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 CASS STREET
Mailing Address - Street 2:SUITE #205
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4533
Mailing Address - Country:US
Mailing Address - Phone:831-646-8917
Mailing Address - Fax:831-649-4168
Practice Address - Street 1:1011 CASS STREET
Practice Address - Street 2:#205
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4533
Practice Address - Country:US
Practice Address - Phone:831-646-8917
Practice Address - Fax:831-649-4168
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM16224106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist