Mary Ann Lacoursiere, SUDP - Counselor in Renton, WA

Mary Ann Lacoursiere, SUDP is a Counselor - Addiction (substance Use Disorder) based in Renton, Washington. Mary Ann Lacoursiere is licensed to practice in Washington (license number CP60793298) and her current practice location is 1412 Sw 43rd St Ste 140, Renton, Washington. She can be reached at her office (for appointments etc.) via phone at (425) 264-0750.

NPI number for Mary Ann Lacoursiere is 1043713332 and her current mailing address is 1700 Airport Way S, Seattle, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043713332.

Contact Information

Mary Ann Lacoursiere, SUDP
1412 Sw 43rd St Ste 140,
Renton, WA 98057-4803
(425) 264-0750
(425) 264-0799

Map and Direction


Healthcare Provider's Profile

Full NameMary Ann Lacoursiere
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1412 Sw 43rd St Ste 140, Renton, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043713332
  • Provider Enumeration Date: 03/13/2018
  • Last Update Date: 07/09/2024

Medical Identifiers

Medical identifiers for Mary Ann Lacoursiere such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043713332NPI-NPPES
1043713332MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CP60793298 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Ann Lacoursiere is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Ann Lacoursiere, SUDP
1700 Airport Way S,
Seattle, WA 98134-1618

Ph: () -
Mary Ann Lacoursiere, SUDP
1412 Sw 43rd St Ste 140,
Renton, WA 98057-4803

Ph: (425) 264-0750

Reviews and Comments


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