Individual
AMY MUNDELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 STODDARD RD STE 600, MODESTO, CA 95356-9041
(209) 543-1874
(209) 543-1869
Mailing address
5815 STODDARD RD STE 600, MODESTO, CA 95356-9041
(209) 543-1874
(209) 543-1869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
12/27/2017
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