Individual provider · Type 1 NPI
Phillip Michael Coco, LAC
Addiction (Substance Use Disorder) Counselor · Pineville, LA
NPI number
1306950449
Active
Practice location
401 Rainbow Dr Unit 6
Pineville, LA 71360-6979
Fax (318) 487-5453
Mailing address
152 Main St
Moreauville, LA 71355-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAC #798 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306950449
Phillip Michael Coco, LAC's National Provider Identifier is 1306950449, issued on Aug 18, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pineville, LA. The record was last updated on Feb 4, 2010.