Provider Demographics
NPI:1134511439
Name:COPFER, LAUREEN M (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:LAUREEN
Middle Name:M
Last Name:COPFER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR # 8201-A
Mailing Address - Street 2:UCSD DEPT OF FAMILY MEDICINE & PUBLIC HEALTH
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1911
Mailing Address - Country:US
Mailing Address - Phone:858-657-7179
Mailing Address - Fax:619-471-9300
Practice Address - Street 1:330 LEWIS ST STE 400
Practice Address - Street 2:UCSD FAMILY MEDICINE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2108
Practice Address - Country:US
Practice Address - Phone:858-657-7179
Practice Address - Fax:619-471-9300
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT84067106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist