Kelsey Mudge

NPI 1427524446 · on the registry since 2018 · sole proprietor

Practice

Address: 138 Civic Center Dr Ste 204
Vista, CA 92084
Phone: (619) 259-0694
Organisation at this address: Yaron Miller Bds Inc
The Lotus Of Longevity Wellness Center
Laurel Counseling & Consultation Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-23

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