Individual
MR. MARC COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4807 196TH ST SW STE 220, LYNNWOOD, WA 98036-6409
(425) 835-5878
Mailing address
4631 N PAULINA ST APT 308, CHICAGO, IL 60640-4597
(206) 335-4127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PSY1000981
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00054529
REGISTERED COUNSELOR
WA
Enumeration date
11/06/2006
Last updated
12/20/2019
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