MALISSA KAUTZ

TACOMA, WA
NPI1194595926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61248684)
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
MALISSA KAUTZ CO61248684
4301 S PINE ST STE 92
TACOMA, WA 98409-7259
Phone number: 253-507-5334
Mailing Address
MALISSA KAUTZ CO61248684
11127 10TH AVENUE CT E APT A303
PARKLAND, WA 98445-7081
Phone number: 253-592-4509