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NPI Code Detail

MEDICARE: MS. VICKI JEAN COTE MHRS

MEDICARE: MS. VICKI JEAN COTE MHRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306022280
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICKI JEAN COTE MHRS
Provider Business Mailing Address
First Line : 6490 AMBROSIA DR
Second Line : APT 5205
City : SAN DIEGO
State : CA
Zip : 92124-3161
Country : US
Telephone Number : 619-258-4012
Fax Number :
Provider Business Practice Location Address
First Line : 8001 PALM ST
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-3026
Country : US
Telephone Number : 619-258-4012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 04/01/2008

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