Natascha Kontny Gundersen, LICSW

NPI #1679114425 in La Canada, California

Provider Information

NPI Number: 1679114425
Entity Type: Individual
Name: Natascha Kontny Gundersen, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 4443 GOULD AVE
City: La Canada
State: California
ZIP Code: 91011-3522
Phone: (617) 905-5888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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