Individual
CARISSA NICOLE MENDEZ-MUNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
421 N BROOKHURST ST STE 119, ANAHEIM, CA 92801-5618
(714) 831-0235
Mailing address
27050 BIG HORN MOUNTAIN WAY, YORBA LINDA, CA 92887-4210
(562) 396-2567
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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