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Cody Joel Lail, MA

Counselor, Mental Health in Lakewood, WA. Individual provider (NPI-1).

NPI number1548741663
StatusActive
Last updated in NPPESAug 27, 2018

Details

NPI
1548741663
Entity type
Individual (NPI-1)
Name
Mr. Cody Joel Lail
Credential
MA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 27, 2018
Last updated
Aug 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–WAYes

Practice location

9330 59th Ave Sw
Lakewood, WA 98499-2858

Phone 253-620-5015

Mailing address

9330 59th Ave Sw
Lakewood, WA 98499-2858

Phone 253-620-5015

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