Provider Demographics
NPI:1306022280
Name:COTE, VICKI JEAN (MHRS)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:JEAN
Last Name:COTE
Suffix:
Gender:F
Credentials:MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6490 AMBROSIA DR
Mailing Address - Street 2:APT 5205
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3161
Mailing Address - Country:US
Mailing Address - Phone:619-258-4012
Mailing Address - Fax:
Practice Address - Street 1:8001 PALM ST
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-3026
Practice Address - Country:US
Practice Address - Phone:619-258-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health