Provider Demographics
NPI:1548644495
Name:COONS, MAREN PAIGE
Entity type:Individual
Prefix:
First Name:MAREN
Middle Name:PAIGE
Last Name:COONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAREN
Other - Middle Name:PAIGE
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2031 HOWE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0179
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2031 HOWE AVE FL 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0179
Practice Address - Country:US
Practice Address - Phone:916-478-7706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist