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Individual
CARISSA NICOLE MENDEZ-MUNDER
Active
Individual
CARISSA NICOLE MENDEZ-MUNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
116176
CA
1041C0700X
Clinical Social Worker
116176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116176
ACSW
CA
Enumeration date
07/21/2023
Last updated
07/21/2023
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