Kimberly Mondezie
Rehabilitation Counselor Professional Counselor Addiction Counselor (Substance Use Disorder)
707 N Courthouse Rd
North Chesterfield
, Virginia 23236-4045
Kimberly Mondezie
Rehabilitation Counselor Professional Counselor Addiction Counselor (Substance Use Disorder)
707 N Courthouse Rd
North Chesterfield
, Virginia 23236-4045
(804) 924-2236
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Professional Counselor
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Kimberly Mondezie
- 707 N Courthouse Rd
- North Chesterfield, VA
- Zip : 23236-4045
- Phone : (804) 924-2236
Second Address
- Kimberly Mondezie
- 707 N Courthouse Rd
- North Chesterfield, VA
- Zip : 23236-4045
- Phone : (804) 924-2236
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Is Kimberly Mondezie accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0710102851 | VA |
| Y | 101YP2500X | Professional Counselor | 0701006952 | VA |
| N | 225C00000X | Rehabilitation Counselor | 00117448 | VA |
National Provider Identifier
| NPI | 1134634736 |
|---|---|
| Provider Name | Kimberly Mondezie |
| First Address | North Chesterfield, VA 23236-4045 |
| Second Address | North Chesterfield, VA 23236-4045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2017 |
| Last Update Date | 27/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.