Individual provider · Type 1 NPI

Kimberly Mantia, CP60821274

Addiction (Substance Use Disorder) Counselor · Gig Harbor, WA

NPI number 1124594502 Active

Practice location

9601 Bujacich Rd NW
Gig Harbor, WA 98332-8300

Mailing address

1061 Eagle Crest Pl
Port Orchard, WA 98366-3632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60821274 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124594502

Kimberly Mantia, CP60821274's National Provider Identifier is 1124594502, issued on Oct 23, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gig Harbor, WA. The record was last updated on Oct 23, 2018.