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NPI Code Detail

MEDICARE: MONICA MARIE COTA-BILBREY MFTI

MEDICARE: MONICA MARIE COTA-BILBREY MFTI
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 Therapist92186CA

General Provider Information

NPI Number : 1710596408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MARIE COTA-BILBREY MFTI
Provider Business Mailing Address
First Line : 7253 CORAL LAKE DR
Second Line :
City : FLOWERY BRANCH
State : GA
Zip : 30542-5599
Country : US
Telephone Number : 323-427-1083
Fax Number :
Provider Business Practice Location Address
First Line : 1030 FAYETTEVILLE RD SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-2921
Country : US
Telephone Number : 404-486-9034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 11/27/2023

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