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Individual

MS. CHARISE MAE MONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, LAC, LMHCA

Contact information

Practice address
2921 N GRAND AVE STE 9, NOGALES, AZ 85621-3921
(520) 224-4793
Mailing address
3308 E 11TH AVE APT C211, SPOKANE, WA 99202-5445
(520) 224-4793

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC20308
AZ
101Y00000X
Counselor
MC60501445
WA
101YM0800X
Mental Health Counselor
Primary
LAC-20308
AZ
101YM0800X
Mental Health Counselor
LAC20308
AZ
101YM0800X
Mental Health Counselor
LH61463314
WA
101YM0800X
Mental Health Counselor
MC-60501445
WA

Other

Enumeration date
04/07/2015
Last updated
01/24/2025
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