Kavya Mudiam

NPI #1508521733 in Coburg, Oregon

Provider Information

NPI Number
1508521733
Entity Type
Individual
Name
Kavya Mudiam
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Nov 2, 2021
Last Updated
Jul 6, 2023

Practice Location

Address
1 SERENITY LN
City
Coburg
State
Oregon
ZIP Code
97408-9350
Phone
(615) 663-0773

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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