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Individual

MANDY ELIZABETH NANKIVEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
235 E BROADWAY STE 314, LONG BEACH, CA 90802-7801
(619) 838-7400
Mailing address
5211 FINO DR, SAN DIEGO, CA 92124-2013
(619) 838-7400

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17619
CA

Other

Enumeration date
03/20/2025
Last updated
02/27/2026
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