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Mr. Kristopher Davis Mudd
Professional Counselor in Paradise, California
NPI 1336512052

Kristopher Davis Mudd is a Professional Counselor based in Magalia, CA and is specialized in Professional. Kristopher Davis Mudd practices in Paradise, CA. The NPI Number for Kristopher Davis Mudd is 1336512052 and holds a License No. (California).

The current practice location address for Kristopher Davis Mudd is 7204 Skyway, Paradise, CA and can be reached out via phone at 530-872-2103.

Location: 7204 Skyway, Paradise, CA, 95954-9411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336512052
Provider Name
Kristopher Davis Mudd
Credential
Provider Entity Type
Individual
Gender
Male
Address
7204 Skyway, Paradise, CA, 95954-9411
Phone Number
530-872-2103
Fax Number
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7204 Skyway
City
Paradise
State
California
Zip
95969-3280
Phone Number
530-872-2103
Fax Number
person
Provider Business Mailing Address Details
Address
7204 Skyway
City
Paradise
State
California
Zip
95969-3280
Phone Number
530-872-2103
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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