Individual provider · Type 1 NPI

Mindy Lorraine Taitano

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1376214247 Active

Practice location

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Call (360) 356-7775 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1376214247

Mindy Lorraine Taitano's National Provider Identifier is 1376214247, issued on Sep 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Sep 21, 2021.