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Mrs. Mindy Lorraine Taitano
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1376214247

Mindy Lorraine Taitano is an Addiction (Substance Use Disorder) Counselor based in Kelso, WA and is specialized in Addiction (Substance Use Disorder). Mindy Lorraine Taitano practices in Kelso, WA. The NPI Number for Mindy Lorraine Taitano is 1376214247 and holds a License No. (Washington).

The current practice location address for Mindy Lorraine Taitano is 305 Pacific Ave S Ste C, Kelso, WA and can be reached out via phone at 360-356-7775.

Location: 305 Pacific Ave S Ste C, Kelso, WA, 98626-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376214247
Provider Name
Mindy Lorraine Taitano
Credential
Provider Entity Type
Individual
Gender
Female
Address
305 Pacific Ave S Ste C, Kelso, WA, 98626-1638
Phone Number
360-356-7775
Fax Number
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-356-7775
Fax Number
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-356-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Washington)
Definition
Definition to come...
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