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ETHAN MANDELKERN

Clinical Social Worker

NPI: 1023224623Individual

Specialties, Licenses & Credentials

Professional Counselor

Counselor — Professional

Code: 101YP2500X

LPCC726(CA)
Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

LCSW64679(CA)
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Contact & Hours

Address
419 CHESTNUT ST, SUITE #2
MOUNT SHASTA, CA 96067

Quick Facts

NPI
1023224623
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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