Provider Demographics
NPI:1487165080
Name:COPELAND, CHRISTI (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:COPELAND
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 FOSTER LN
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-1198
Mailing Address - Country:US
Mailing Address - Phone:512-639-1633
Mailing Address - Fax:
Practice Address - Street 1:220 FOSTER LN
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-1198
Practice Address - Country:US
Practice Address - Phone:512-639-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78117101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional