Healthcare Provider Details
I. General information
NPI: 1366712127
Provider Name (Legal Business Name): BRETT STEPHEN CODER LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/10/2012
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6028 ANTHONY DR
ORANGEVALE CA
95662-5008
US
IV. Provider business mailing address
1015 RILEY ST UNIT 173
FOLSOM CA
95763-4008
US
V. Phone/Fax
- Phone: 916-258-2282
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: