Individual provider · Type 1 NPI
Kimberly Mondezie, LPC, CSAC, CRC
Professional Counselor · Prince George, VA
NPI number
1134634736
Active
Practice location
7008 Maple Leaf Ln
Prince George, VA 23875-2669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102851 (VA) |
| Rehabilitation Counselor | 225C00000X | 00117448 (VA) |
| Professional Counselor Primary | 101YP2500X | 0701006952 (VA) |
Professional Counselor: Definition to come...
Another provider at this address
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- Dale Marie Chatman, LPCProfessional Counselor Prince George, VA NPI 1740048123
- Naomie Joseph-Nieto, LPCProfessional Counselor Prince George, VA NPI 1902661614
About NPI 1134634736
Kimberly Mondezie, LPC, CSAC, CRC's National Provider Identifier is 1134634736, issued on Dec 6, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prince George, VA. The record was last updated on Mar 12, 2025.