Provider Demographics
NPI:1881958890
Name:COTCHER, CHRISTIE LYNN (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:LYNN
Last Name:COTCHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6937 VILLAGE PKWY UNIT 2543
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-6026
Mailing Address - Country:US
Mailing Address - Phone:925-400-9592
Mailing Address - Fax:
Practice Address - Street 1:5776 STONERIDGE MALL RD STE 240
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2836
Practice Address - Country:US
Practice Address - Phone:925-400-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF69134101YM0800X
CAIMF 69134106H00000X
CALMFT93450106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health