Malissa Kautz, CO61248684
Malissa Kautz, CO61248684 is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2024.
- Licensed in
- WA
- In the registry since
- 2024
Practice location Address checks out
4301 S Pine St Ste 92Tacoma, WA 98409-7259
Phone: (253) 507-5334
Fax: (253) 330-5182
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CO61248684 (WA) |
|---|
Record details
| NPI number | 1194595926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CO61248684 |
| Sole proprietor | No |
| NPI enumerated | January 3, 2024 |
| Last updated in NPPES | January 3, 2024 |
| Certification date | January 3, 2024 |
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