Individual
MRS. SUSAN COOPER MAREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
520 SPRING ST, FRIDAY HARBOR, WA 98250-8057
(360) 378-4994
Mailing address
1318 PORT STANLEY RD, LOPEZ ISLAND, WA 98261-8403
(360) 468-2114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00045742
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005142
WA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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