Provider Demographics
NPI:1194098855
Name:COTTON, ELIZABETH A (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:COTTON
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CASTRO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1504
Mailing Address - Country:US
Mailing Address - Phone:415-552-9552
Mailing Address - Fax:415-552-9552
Practice Address - Street 1:301 CASTRO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1504
Practice Address - Country:US
Practice Address - Phone:415-552-9552
Practice Address - Fax:415-552-9552
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27748106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist