Ethan C Mandelkern

NPI #1023224623 in Mount Shasta, California

Provider Information

NPI Number
1023224623
Entity Type
Individual
Name
Ethan C Mandelkern
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 14, 2007
Last Updated
Aug 12, 2024

Practice Location

Address
419 CHESTNUT ST
Address 2
SUITE #2
ZIP Code
96067-2918
Phone
(530) 918-8348

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Social Worker - ClinicalClinical

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