| Doctor Name: | MANDI GORETSKA |
| NPI Number: | 1255620548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | |
| Business Practice Address: | 1200 N 7th St Chariton, IA - 500491210 |
| Business Phone Number: | 6417743370 |
| Business Fax Number: | |
| Mailing Address: | 1679 128th St, CORYDON |
| State: | IA |
| Postal Code: | 500608803 |
| Phone Number: | 6413447330 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2011 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |