Individual
MERESSA MAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(253) 507-5334
Mailing address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(253) 507-5334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO06138911
WA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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