Individual provider · Type 1 NPI
Jerry J. Mungadze, PHD., LPC
Mental Health Counselor · Bedford, TX
NPI number
1356490080
Active
Practice location
2040 Bedford Rd Ste 200
Bedford, TX 76021-5871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 10315 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1356490080
Jerry J. Mungadze, PHD., LPC's National Provider Identifier is 1356490080, issued on Jan 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bedford, TX. The record was last updated on Jul 8, 2007.