Organization Name: | LARRY R COTE & KRISTIN B COTE |
NPI Number: | 1013947191 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY R COTE (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 250 Cherry Ln Suite 110 Manteca |
State: | CA US |
Postal Code: | 953374395 |
Phone Number: | 2092393334 |
Fax Number: | 2094653416 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW5358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |