Individual
MS. TANJA NICOLE MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-S
Contact information
Practice address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
(913) 904-8565
Mailing address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
(913) 904-8565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17307
AZ
101YP2500X
Professional Counselor
2007008419
MO
Other
Enumeration date
04/28/2009
Last updated
12/12/2023
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