Copeland, Jerry

Copeland, Jerry is an individual health care provider with primary practice located at 14799 Dix Toledo Rd , Southgate MI 48195-2507. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Copeland, Jerry can be contacted via phone (734) 324-8326.

Contact Information

Primary practice address
14799 Dix Toledo Rd Southgate MI 48195-2507
Phone: (734) 324-8326
Fax: (734) 324-8327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6851108144 Michigan
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1891237186
LBN Legal business name Copeland, Jerry
Credentials MSW, LLMSW, CAADC,
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2016
Last updated May 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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