Copelton, Victoria R
Copelton, Victoria R is an sole proprietor health care provider with primary practice located at 160 Churchill Downs Dr Johnston Counseling Services Inc., Clayton NC 27520-5536. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Copelton, Victoria R can be contacted via phone (919) 550-6646.Contact Information
Primary practice address
160 Churchill Downs Dr Johnston Counseling Services Inc.
Clayton NC 27520-5536
Phone: (919) 550-6646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 922 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004467 | North Carolina |
Profile Details
| NPI number | 1952410607 |
|---|---|
| LBN Legal business name | Copelton, Victoria R |
| Credentials | LCSW, LCAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jan 7th, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952410607 | NPPES |
| North Carolina | MEDICAID | 6003629 |
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