PHILLIP MICHAEL COCO

PINEVILLE, LA
NPI1306950449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  LAC #798)
Enumeration Date2006-08-18
Last Update Date2010-02-04
Business Address
Mr. PHILLIP MICHAEL COCO LAC
401 RAINBOW DR UNIT 6
PINEVILLE, LA 71360-6979
Phone number: 318-484-2168
Mailing Address
Mr. PHILLIP MICHAEL COCO LAC
152 MAIN ST
MOREAUVILLE, LA 71355-2502
Phone number: 318-487-5191
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