Individual
CATHERINE JANE MUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
1000 SANDERSON LANE, BOVILL, ID 83806-0523
(208) 816-3078
Mailing address
PO BOX 523, BOVILL, ID 83806-0523
(208) 816-3078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7721
ID
Other
Enumeration date
09/17/2019
Last updated
06/13/2024
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