Ethan C Mandelkern
Ethan C Mandelkern is a Professional Counselor in Mount Shasta, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
419 Chestnut St Ste #2Mount Shasta, CA 96067-2918
Phone: (530) 918-8348
Fax: (530) 918-5477
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCSW64679 (CA) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence LPCC726 (CA) |
Record details
| NPI number | 1023224623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2007 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 12, 2024 |
| Mailing address | 419 Chestnut St, Suite #2, Mount Shasta, CA 96067-2918 |
Other providers in Mount Shasta
-
William E Truby III, MA
510 Quail Hill Dr, Mount Shasta, CA 96067-9239 · (530) 926-2328