Provider Demographics
NPI:1710112701
Name:COATS, CHRISTINE WAMBUI (BS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:WAMBUI
Last Name:COATS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 REDHIL AVE
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-8009
Mailing Address - Country:US
Mailing Address - Phone:714-850-8437
Mailing Address - Fax:714-850-8437
Practice Address - Street 1:3115 RED HILL AVE
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4517
Practice Address - Country:US
Practice Address - Phone:714-850-8463
Practice Address - Fax:714-850-8437
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health