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Individual

COCO CAPORAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2975 VALMONT RD STE 300, BOULDER, CO 80301-1361
(303) 415-1025
Mailing address
2975 VALMONT RD STE 300, BOULDER, CO 80301-1361

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF93778
CA
106H00000X
Marriage & Family Therapist
LMFT109012
CA
106H00000X
Marriage & Family Therapist
Primary
MFT.0002267
CO

Other

Enumeration date
04/14/2015
Last updated
05/10/2023
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