MALISSA KAUTZ CO61248684 NPI 1194595926

NPI Information

NPI: 1194595926
Provider Name: MALISSA KAUTZ, CO61248684
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4301 S PINE ST STE 92
TACOMA, WA
ZIP 98409
Phone: (253) 507-5334
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Malissa Kautz, CO61248684 is an addiction (substance use disorder) counselor in Tacoma, WA. Malissa Kautz, CO61248684 NPI is 1194595926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4301 S PINE ST STE 92
TACOMA, WA
ZIP 98409-259
Phone: (253) 507-5334
Fax: (253) 330-5182

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO61248684	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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