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Moby Coquillard

NPI 1508423872 · on the registry since 2019 · sole proprietor

Practice

Address
1777 Borel Pl Ste 214
San Mateo, CA 94402
Phone
(650) 348-2797
Organisation at this address
Gene Piver,M.F.T.
Liberty Through Therapy Professional Clinical Counselor, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California