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NPI Code Detail

MEDICARE: VICKI COCCARO MA., MFT

MEDICARE: VICKI COCCARO MA., MFT
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
1106H00000XMarriage & Family TherapistMFC51377CA

General Provider Information

NPI Number : 1851651509
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI COCCARO MA., MFT
Provider Business Mailing Address
First Line : 4132 KATELLA AVE STE 104
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3493
Country : US
Telephone Number : 714-274-3451
Fax Number : 562-598-5997
Provider Business Practice Location Address
First Line : 4132 KATELLA AVE STE 104
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3493
Country : US
Telephone Number : 714-274-3451
Fax Number : 562-598-5997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2012
Last Update Date : 05/28/2012

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Directions to “ VICKI COCCARO MA., MFT” Practice Location

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