Individual
ASA E COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
(650) 369-6465
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
(650) 369-6465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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