person
Loide Mandlhate
Mental Health Counselor in Santa Cruz, California
NPI 1609024959

Loide Mandlhate is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Loide Mandlhate practices in Santa Cruz, CA. The NPI Number for Loide Mandlhate is 1609024959 and holds a License No. (California).

The current practice location address for Loide Mandlhate is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1609024959
Provider Name
Loide Mandlhate
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA MEDICARE GROUP PTAN#
ZZZ92069Z 01 CA MEDICARE GROUP PTAN#
ZZZ91891Z 01 CA MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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