Susan Coolbaugh, Inc | |
6212 75th St W Lakewood WA 98499-8368 | |
(253) 983-8507 | |
(253) 983-8576 |
Full Name | Susan Coolbaugh, Inc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 6212 75th St W, Lakewood, Washington |
Authorized Official Name and Position | Susan Frances Coolbaugh (PRESIDENT) |
Authorized Official Contact | 2539838507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan Coolbaugh, Inc 6212 75th St W Lakewood WA 98499-8368 Ph: (253) 983-8507 | Susan Coolbaugh, Inc 6212 75th St W Lakewood WA 98499-8368 Ph: (253) 983-8507 |
NPI Number | 1902129620 |
---|---|
Provider Enumeration Date | 03/09/2010 |
Last Update Date | 03/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902129620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | AP30004202 (Washington) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |