Individual
KATHLYN LEE MANKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11057
CA
101YM0800X
Mental Health Counselor
APCC11057
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC11057
CA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2019
Last updated
10/11/2024
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