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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