person
Mary Ann Lacoursiere, SUDP
Addiction (Substance Use Disorder) Counselor in Renton, Washington
NPI 1043713332

Mary Ann Lacoursiere is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Mary Ann Lacoursiere practices in Renton, WA and has the professional credentials of SUDP. The NPI Number for Mary Ann Lacoursiere is 1043713332 and holds a License No. CP60793298 (Washington).

The current practice location address for Mary Ann Lacoursiere is 1412 Sw 43Rd St Ste 140, Renton, WA and can be reached out via phone at 425-264-0750 and via fax at 425-264-0799.

Location: 1412 Sw 43Rd St Ste 140, Renton, WA, 98134-1618
person
Provider Profile Details
NPI Number
1043713332
Provider Name
Mary Ann Lacoursiere
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
1412 Sw 43Rd St Ste 140, Renton, WA, 98134-1618
Phone Number
425-264-0750
Fax Number
425-264-0799
Provider Enumeration Date
03/13/2018
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043713332 05 WA
institution
Provider Business Practice Location Address Details
Address
1412 Sw 43Rd St Ste 140
City
State
Zip
98057-4803
Phone Number
425-264-0750
Fax Number
425-264-0799
person
Provider Business Mailing Address Details
Address
1412 Sw 43Rd St Ste 140
City
State
Zip
98057-4803
Phone Number
425-264-0750
Fax Number
425-264-0799
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60793298 (Washington)
Definition
Definition to come...
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