Individual
MRS. JEDIDAH WANGONDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1605 MAIN ST, DAPHNE, AL 36526-4463
(251) 621-5360
(251) 621-5361
Mailing address
1605 MAIN ST, DAPHNE, AL 36526-4463
(251) 621-5360
(251) 621-5361
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3418
AL
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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