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MARY ANN LACOURSIERE SUDP
NPI 1043713332
Counselor - Addiction (Substance Use Disorder) in Renton, WA

Active since March 13, 2018
1412 SW 43RD ST STE 140, RENTON, WA 98057(425) 264-0750(425) 264-0799 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jun 6, 2023, Aug 31, 2018 and 1 more (4 updates tracked since 2018).

About Mary Ann Lacoursiere Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN LACOURSIERE SUDP (NPI 1043713332) is an individual addiction (substance use disorder) provider in Renton, Washington, licensed in Washington (CP60793298) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1043713332
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY ANN LACOURSIERECredential: SUDP
Location Address1412 SW 43RD ST STE 140Renton, WA 98057-4803
Mailing Address1700 Airport Way SSeattle, WA 98134-1618
Phone(425) 264-0750
Fax(425) 264-0799
Sole ProprietorNo
Enumeration DateMarch 13, 2018
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1043713332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60793298
1412 SW 43RD ST STE 140, Renton, WA 98057
Open in Google Maps ↗

Other Identifiers 1

Medicaid1043713332WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE B REESE RN
Registered Nurse
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
FRANCISCO BARRERA PA-C
Physician Assistant
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
ELIZABETH BLAIR NEWMAN SUDPT
Student in an Organized Health Care Education/Training Program
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
LAVELLE HORNE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
TSZ WING CHAN
Technician
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
BARRY WILLIS
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
SIERRA LYNN EZRRE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
MS. CATHY HUNTER
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (205) 563-7409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lacoursiere's NPI number?

The NPI number for Mary Lacoursiere is 1043713332. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Mary Lacoursiere located?

Mary Lacoursiere practices at 1412 SW 43rd St Ste 140, Renton, WA 98057. The listed phone number is (425) 264-0750.

What is Mary Lacoursiere's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Lacoursiere was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.