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NPI Code Detail

MEDICARE: C.O.P.E. FAMILY SUPPORT CENTER

MEDICARE: C.O.P.E. FAMILY SUPPORT CENTER
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
1103TC2200XClinical Child & Adolescent Psychologist
21041C0700XClinical Social Worker
3252Y00000XEarly Intervention Provider Agency
4106H00000XMarriage & Family Therapist
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1972011096
Entity Type Code : Organization
Provider Name (Legal Business Name) : C.O.P.E. FAMILY SUPPORT CENTER
Provider Business Mailing Address
First Line : 3021 CITRUS CIR STE 105
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2643
Country : US
Telephone Number : 925-689-5811
Fax Number :
Provider Business Practice Location Address
First Line : 3021 CITRUS CIR STE 180
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2675
Country : US
Telephone Number : 925-689-5811
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : NATASHA PADDOCK
Credential :
Telephone Number : 925-689-5811
Provider Enumeration Date : 01/11/2018
Last Update Date : 12/11/2025

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Directions to “C.O.P.E. FAMILY SUPPORT CENTER ” Practice Location

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