person
Mr. Phillip Michael Coco, LAC
Addiction (Substance Use Disorder) Counselor in Pineville, Louisiana
NPI 1306950449

Phillip Michael Coco is an Addiction (Substance Use Disorder) Counselor based in Moreauville, LA and is specialized in Addiction (Substance Use Disorder). Phillip Michael Coco practices in Pineville, LA and has the professional credentials of LAC. The NPI Number for Phillip Michael Coco is 1306950449 and holds a License No. LAC #798 (Louisiana).

The current practice location address for Phillip Michael Coco is 401 Rainbow Dr Unit 6, Pineville, LA and can be reached out via phone at 318-484-2168 and via fax at 318-487-5453. You can also correspond with Phillip Michael Coco through the mailing address at 152 MAIN ST, MOREAUVILLE, LA - 71355-2502 (mailing address contact number: 318-487-5191).

Location: 401 Rainbow Dr Unit 6, Pineville, LA, 71355-2502
person
Provider Profile Details
NPI Number
1306950449
Provider Name
Phillip Michael Coco
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
401 Rainbow Dr Unit 6, Pineville, LA, 71355-2502
Phone Number
318-484-2168
Fax Number
318-487-5453
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9759 01 LA BLUECROSSBLUESHIELD
institution
Provider Business Practice Location Address Details
Address
401 Rainbow Dr Unit 6
City
State
Zip
71360-6979
Phone Number
318-484-2168
Fax Number
318-487-5453
person
Provider Business Mailing Address Details
Address
401 Rainbow Dr Unit 6
City
State
Zip
71360-6979
Phone Number
318-484-2168
Fax Number
318-487-5453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC #798 (Louisiana)
Definition
Definition to come...
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