Individual
MRS. CHARLEANER NICHOLE MONDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8910 CLAIREMONT MESA BOULEVARD, SAN DIEGO, CA 92123
(858) 514-5144
(858) 514-5195
Mailing address
8910 CLAIREMONT MESA BOULEVARD, SAN DIEGO, CA 92123
(858) 514-5144
(858) 514-5195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
06/17/2019
Last updated
04/05/2021
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