Individual
ALLAN C COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 604-7422
Mailing address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61435404
WA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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