person
Malissa Kautz, CO61248684
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1194595926

Malissa Kautz is an Addiction (Substance Use Disorder) Counselor based in Parkland, WA and is specialized in Addiction (Substance Use Disorder). Malissa Kautz practices in Tacoma, WA and has the professional credentials of CO61248684. The NPI Number for Malissa Kautz is 1194595926 and holds a License No. CO61248684 (Washington).

The current practice location address for Malissa Kautz is 4301 S Pine St Ste 92, Tacoma, WA and can be reached out via phone at 253-507-5334 and via fax at 253-330-5182.

Location: 4301 S Pine St Ste 92, Tacoma, WA, 98445-7081
person
Provider Profile Details
NPI Number
1194595926
Provider Name
Malissa Kautz
Credential
CO61248684
Provider Entity Type
Individual
Gender
Female
Address
4301 S Pine St Ste 92, Tacoma, WA, 98445-7081
Phone Number
253-507-5334
Fax Number
253-330-5182
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4301 S Pine St Ste 92
City
State
Zip
98409-7259
Phone Number
253-507-5334
Fax Number
253-330-5182
person
Provider Business Mailing Address Details
Address
4301 S Pine St Ste 92
City
State
Zip
98409-7259
Phone Number
253-507-5334
Fax Number
253-330-5182
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61248684 (Washington)
Definition
Definition to come...
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