Most Relevant Information
Provider Data
| NPI Number: | 1003272014 |
| Provider Name: | KATRINA COPELAND MFTI |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | IMF78760 |
Most Important Dates
| Enumeration Date: | 01/06/2016 |
| Last Updated: | 10/04/2021 |
Provider Practice Location
275 BECK AVE # MS 5-250
FAIRFIELD
CA
945336804
Practice Location Phone/Fax
| Phone: | 7077848337 |
| Fax: |
Provider Mailing Location
275 BECK AVE # MS 5-250
FAIRFIELD
CA
945336804
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |