Individual
MARIE CHOQUETTE MACCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP, CMHS, MH
Contact information
Practice address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 260-2909
Mailing address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 260-2909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60272965
WA
101YM0800X
Mental Health Counselor
60436297
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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