Individual provider · Type 1 NPI

Kellie Elizabeth Modugno

Mental Health Counselor · Mission Viejo, CA

NPI number 1689570418 Active

Practice location

21901 Herencia
Mission Viejo, CA 92692-1130

Call (949) 616-6496 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23049 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1689570418

Kellie Elizabeth Modugno's National Provider Identifier is 1689570418, issued on Oct 19, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mission Viejo, CA. The record was last updated on Oct 19, 2026.