Provider Demographics
NPI:1386825834
Name:MERCIER, COLETTE EVE (LM, CPM)
Entity Type:Individual
Prefix:MISS
First Name:COLETTE
Middle Name:EVE
Last Name:MERCIER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9051 MILL STATION RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-2500
Mailing Address - Country:US
Mailing Address - Phone:707-829-3134
Mailing Address - Fax:
Practice Address - Street 1:905B BOYES BLVD
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-3758
Practice Address - Country:US
Practice Address - Phone:707-331-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113237106H00000X
CA218176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No176B00000XOther Service ProvidersMidwife