MEDICARE: ANDRA ALISE COULTER 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
1	106H00000X	Marriage & Family Therapist	MFC 41989	CA

General Provider Information

NPI Number	:	1811192354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRA ALISE COULTER MFT

Provider Business Mailing Address
First Line	:	4629 MONONGAHELA ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-2416
Country	:	US
Telephone Number	:	619-977-7485
Fax Number	:

Provider Business Practice Location Address
First Line	:	2031 2ND AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2015
Country	:	US
Telephone Number	:	619-977-7485
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1891783288 — CHRISTINE BERNET PHD
Practice Location Address:

2031 2ND AVE
SAN DIEGO, CA
92101-2015

Practice Phone: 619-699-8443
Practice Fax: 619-237-9499

1962844233 — MRS. CHRISTINA MARIE NAKANISHI LCSW
Practice Location Address:

10805 OLIVIA WAY
SAN DIEGO, CA
92129-2015

Practice Phone: 619-398-6149
Practice Fax:

1861966376 — WIJDAN SWEIS
Practice Location Address:

7413 MARGERUM AVE
SAN DIEGO, CA
92120-2015

Practice Phone: 619-888-8785
Practice Fax:

1235213836 — LILI SHIDLOVSKI MFT
Practice Location Address:

1443 CHURCH ST
SAN FRANCISCO, CA
94131-2015

Practice Phone: 415-824-8353
Practice Fax: 415-285-9953

1457402414 — MARY HONEA MCCLUNG
Practice Location Address:

2015 NE LOOP 410
SAN ANTONIO, TX
78217-5411

Practice Phone: 210-823-1772
Practice Fax:

Directions to “ ANDRA ALISE COULTER MFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.