Organization
FULLER THEOLOGICAL SEMINARY
Active
Organization
FULLER THEOLOGICAL SEMINARY
Active
Other names
Fuller Psychological and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEOPOLIS COSSE PSYD, MBA (EXECUTIVE DIRECTOR)
(626) 584-5566
Entity
Organization
Contact information
Practice address
180 NORTH OAKLAND AVENUE, PASADENA, CA 91101-1714
(626) 584-5555
(626) 584-5558
Mailing address
180 NORTH OAKLAND AVENUE, PASADENA, CA 91101
(626) 584-5555
(626) 584-5558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YP1600X
Pastoral Counselor
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
CA
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
CA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
10/13/2023
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