Individual provider · Type 1 NPI

Stephanie Coram

Mental Health Counselor · San Mateo, CA

NPI number 1134500069 Active

Practice location

225 37th Ave, 3rd Floor
San Mateo, CA 94403-4324

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW32060 (CA)
Clinical Social Worker 1041C0700XASW32060 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1134500069

Stephanie Coram's National Provider Identifier is 1134500069, issued on Jun 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Jun 16, 2015.