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Organization
CPSC
Active
Organization
CPSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H COSTER LMFT (DIRECTOR)
51065481713
Entity
Organization
Contact information
Practice address
1940 VIRGINIA ST, BERKELEY, CA 94709-2136
(510) 548-1713
Mailing address
1940 VIRGINIA ST, BERKELEY, CA 94709-2136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
24853
CA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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