Coffman, Vicki

Coffman, Vicki is an individual health care provider with primary practice located at 29970 Technology Dr Ste 212 , Murrieta CA 92563-2649. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Coffman, Vicki can be contacted via phone (951) 900-4414.

Contact Information

Primary practice address
29970 Technology Dr Ste 212 Murrieta CA 92563-2649
Phone: (951) 900-4414
Fax: (951) 880-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 83503 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717002007 Virginia

Profile Details

NPI number 1578802146
LBN Legal business name Coffman, Vicki
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2013
Last updated Dec 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578802146 NPPES
California MEDICAID CA717047

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