Individual
MISS KARISSA LOUISE MANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14829 MERIDIAN AVE N, SHORELINE, WA 98133-6725
(714) 262-5145
Mailing address
14829 MERIDIAN AVE N, SHORELINE, WA 98133-6725
(714) 262-5145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60731691
WA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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