Individual
LACEY COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
(360) 757-7749
Mailing address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
(360) 757-7749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60562339
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60884225
WA
Other
Enumeration date
01/30/2017
Last updated
03/21/2022
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