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Susan Coolbaugh, Inc
Adult Mental Health Clinic/Center in Lakewood, Washington
NPI 1902129620

Susan Coolbaugh, Inc is an Adult Mental Health Clinic/Center based in Lakewood, WA and is specialized in Adult Mental Health. Susan Coolbaugh, Inc practices in Lakewood, WA. The NPI Number for Susan Coolbaugh, Inc is 1902129620 and holds a License No. AP30004202 (Washington).

The current practice location address for Susan Coolbaugh, Inc is 6212 75Th St W, Lakewood, WA and can be reached out via phone at 253-983-8507 and via fax at 253-983-8576.

Location: 6212 75Th St W, Lakewood, WA, 98499-8368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902129620
Provider Name
Susan Coolbaugh, Inc
Credential
Provider Entity Type
Organization
Address
6212 75Th St W, Lakewood, WA, 98499-8368
Phone Number
253-983-8507
Fax Number
253-983-8576
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6212 75Th St W
City
Lakewood
State
Washington
Zip
98499-8368
Phone Number
253-983-8507
Fax Number
253-983-8576
person
Provider Business Mailing Address Details
Address
6212 75Th St W
City
Lakewood
State
Washington
Zip
98499-8368
Phone Number
253-983-8507
Fax Number
253-983-8576
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
AP30004202 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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