Copeland, Jilissa
Copeland, Jilissa is an sole proprietor health care provider with primary practice located at 552 Vale Park Rd Ste A , Valparaiso IN 46385-2508. 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. Copeland, Jilissa can be contacted via phone (219) 246-8873.Contact Information
Primary practice address
552 Vale Park Rd Ste A
Valparaiso IN 46385-2508
Phone: (219) 246-8873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34008560A | Indiana |
Profile Details
| NPI number | 1154793669 |
|---|---|
| LBN Legal business name | Copeland, Jilissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2015 |
| Last updated | Mar 26th, 2025 - 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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