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Individual

MELISSA NICOLE KAUFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BAS, SUDPT, AAC

Contact information

Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 624-4913
Mailing address
1300 COLUMBIA ST APT 318, VANCOUVER, WA 98660-2939
(360) 624-4913

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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