Provider Demographics
NPI:1669256186
Name:LECOCQ, VERONIQUE (LMHCA)
Entity type:Individual
Prefix:
First Name:VERONIQUE
Middle Name:
Last Name:LECOCQ
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:VERO
Other - Middle Name:
Other - Last Name:LECOCQ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA
Mailing Address - Street 1:356 N 78TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4618
Mailing Address - Country:US
Mailing Address - Phone:303-332-4008
Mailing Address - Fax:
Practice Address - Street 1:356 N 78TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4618
Practice Address - Country:US
Practice Address - Phone:303-332-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101200000X
WAMC61462082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist