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NPI Code Detail

MEDICARE: MR. CARLIN SUNDELL LPCC

MEDICARE:  MR. CARLIN  SUNDELL  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor17570CA

General Provider Information

NPI Number : 1518506195
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARLIN SUNDELL LPCC
Provider Business Mailing Address
First Line : 5387 8TH ST APT B
Second Line :
City : CARPINTERIA
State : CA
Zip : 93013-2492
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 888 LINDEN AVE STE E
Second Line :
City : CARPINTERIA
State : CA
Zip : 93013-2043
Country : US
Telephone Number : 805-325-3462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2019
Last Update Date : 09/30/2024

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Directions to “ MR. CARLIN SUNDELL LPCC” Practice Location

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