Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kezia Odamtten Mantey

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780537506

Kezia Odamtten Mantey is an Addiction (Substance Use Disorder) Counselor in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

3002 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8200
Fax: (847) 984-5676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (IL)

Record details

NPI number1780537506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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