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1073946000
NICOLE KOETHNER
BERKELEY, CA
NPI
1073946000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46109)
Enumeration Date
2013-08-13
Last Update Date
2019-12-05
Business Address
MS. NICOLE KOETHNER MA, MFT
2113 WOOLSEY STREET
BERKELEY, CA 94705
Phone number: 510-779-2842
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Mailing Address
MS. NICOLE KOETHNER MA, MFT
130 WOOD LN
FAIRFAX, CA 94930
Phone number: 510-282-8161
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