Zachary Kirk Mandlin
Counselor in Olympia, WA. Individual provider (NPI-1).
NPI number1104668656
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1104668656
- Entity type
- Individual (NPI-1)
- Name
- Zachary Kirk Mandlin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG61573497 | WA | Yes |
Practice location
711 State Ave NeOlympia, WA 98506-3984
Phone 360-943-0780
Mailing address
711 State Ave NeOlympia, WA 98506-3984
Phone 360-943-0780
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