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Search › California › Clinical Social Worker

Ethan Mandelkern

NPI 1023224623 · on the registry since 2007 · sole proprietor

Practice

Address
419 Chestnut St
Suite #2
Mount Shasta, CA 96067
Phone
(530) 918-8348
Fax
(530) 918-5477
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Professional Counselor
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California