Karen Cooley, MFT

Individual provider Active NPI Marriage & Family Therapist · Millbrae, CA

NPI 1457538233 · NPPES record last updated Jan 23, 2008

Key facts

NPI
1457538233
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT 35765 (CA)
Practice address
510 Broadway
Suite 201
Millbrae, CA 94030-1966
Phone
(650) 697-2700
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT 35765CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 35765 CA Yes

Addresses

Primary practice location

510 Broadway
Suite 201
Millbrae, CA 94030-1966

Mailing address

510 Broadway
Suite 201
Millbrae, CA 94030-1966
Phone (650) 697-2700

Other providers in Millbrae, CA

All providers in Millbrae, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.