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MR. ANDREW COPPERMAN LMFT 82005
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1902156425
Individual Registrant:MR. ANDREW COPPERMAN LMFT 82005
Gender: M
Sole Proprietor
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: --
Tel: 415-847-8842 Fax: --
Contact information for business:
1115 SIR FRANCIS DRAKE #5 KENTFIELD, CA 94904 US
Tel: 415-847-8842 Fax: --
Tel: 415-847-8842 Fax: --
Registration Information:
NPI: 1902156425
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 82005 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
