Individual
ADAM COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, PCCI
Contact information
Practice address
711 D ST STE 207, SAN RAFAEL, CA 94901-3704
(415) 967-3620
Mailing address
PO BOX 170273, SAN FRANCISCO, CA 94117-0273
(415) 967-3620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PCCI 2117
CA
106H00000X
Marriage & Family Therapist
Primary
100626
CA
Other
Enumeration date
02/08/2017
Last updated
08/10/2017
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