Doctor Name: | SOFI JANE MUNDSCHAU |
NPI Number: | 1528347994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1021 4th St Taft, CA - 932682433 |
Business Phone Number: | 6617657025 |
Business Fax Number: | |
Mailing Address: | 8200 Kroll Way, Apt. 376 BAKERSFIELD |
State: | CA |
Postal Code: | 933111167 |
Phone Number: | 6617426541 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2011 |
NPI Last Update Date: | 08/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |