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MR. ANDREW COPPERMAN LMFT 82005

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1902156425

Individual Registrant:
MR. ANDREW  COPPERMAN LMFT 82005
Gender: M
Sole Proprietor

Location and contact information for practice:
240 TAMAL VISTA BLVD STE 290  CORTE MADERA, CA 94925-1159 US
Tel: 415-847-8842  Fax: --

Contact information for business:
1115 SIR FRANCIS DRAKE #5  KENTFIELD, CA 94904 US
Tel: 415-847-8842  Fax: --

Registration Information:
NPI: 1902156425
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA82005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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