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Individual

GERARD MONDESTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, MA, LPC

Contact information

Practice address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
(417) 623-1990
(417) 623-9931
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7124
OK
101YP2500X
Professional Counselor
Primary
2013043958
MO

Other

Enumeration date
02/25/2014
Last updated
04/02/2026
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