Individual provider · Type 1 NPI

Malissa Kautz, CO61248684

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1194595926 Active

Practice location

4301 S Pine St Ste 92
Tacoma, WA 98409-7259

Call (253) 507-5334 Map

Fax (253) 330-5182

Mailing address

11127 10th Avenue Ct E Apt A303
Parkland, WA 98445-7081

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61248684 (WA)

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

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About NPI 1194595926

Malissa Kautz, CO61248684's National Provider Identifier is 1194595926, issued on Jan 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Jan 3, 2024.