Most Relevant Information
Provider Data
| NPI Number: | 1003820218 |
| Provider Name: | CAROLYN B COOPER M.S., L.M.F.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 44480 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 03/02/2011 |
Provider Practice Location
582 MARKET ST
SUITE 1604
SAN FRANCISCO
CA
941045301
Practice Location Phone/Fax
| Phone: | 4153425196 |
| Fax: |
Provider Mailing Location
582 MARKET ST
SUITE 1604
SAN FRANCISCO
CA
941045301
Provider Mailing Phone/Fax
| Phone: | 4153425196 |
| Fax: |