Provider Information for 1164929436
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JOSHUA MICHAEL MONDARY LMFT
Sex: Male
NPI: 1164929436
Last Updated: 2024-09-26
Certification Date: 2024-09-26
Certification Date: 2024-09-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164929436 | ||||||||||||
| Enumeration Date | 2018-04-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3117 WILSON RD BAKERSFIELD, CA 93304-5319 United States Phone: 661-324-4756 | Fax: | ||||||||||||
| Primary Practice Address | 3117 WILSON RD BAKERSFIELD, CA 93304-5319 United States Phone: 661-324-4756 | Fax: | ||||||||||||
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