Individual
MS. CHARLOTTE MANTOOTH-SEIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PHDC CDP DV NCAC2
Contact information
Practice address
611 W A ST, YAKIMA, WA 98902-2605
(509) 452-1000
(509) 452-1004
Mailing address
611 W A ST, YAKIMA, WA 98902-2605
(509) 452-1004
(509) 452-1004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000171
WA
Other
Enumeration date
10/25/2019
Last updated
03/29/2026
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