Individual
JUNIOR MONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 RINGGOLD RD, SOMERSET, KY 42503-3900
(606) 451-1936
(606) 451-9713
Mailing address
PO BOX 114, RUSSELL SPRINGS, KY 42642-0114
(606) 872-0578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
248054
KY
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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