Individual provider · Type 1 NPI

Mary Ann Lacoursiere, SUDP

Addiction (Substance Use Disorder) Counselor · Renton, WA

NPI number 1043713332 Active

Practice location

1412 SW 43rd St Ste 140
Renton, WA 98057-4803

Call (425) 264-0750 Map

Fax (425) 264-0799

Mailing address

1700 Airport Way S
Seattle, WA 98134-1618

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60793298 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043713332

Mary Ann Lacoursiere, SUDP's National Provider Identifier is 1043713332, issued on Mar 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Renton, WA. The record was last updated on Jul 9, 2024.