Provider Demographics
NPI:1093310245
Name:COHEN, ANDRIA COLLEEN (LMFT APCC)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:COLLEEN
Last Name:COHEN
Suffix:
Gender:F
Credentials:LMFT APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E CARRILLO ST STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1410
Mailing Address - Country:US
Mailing Address - Phone:805-242-3570
Mailing Address - Fax:
Practice Address - Street 1:301 E CARRILLO ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1410
Practice Address - Country:US
Practice Address - Phone:805-242-3570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
LMFT135739106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist