MEDICARE: ALENA KALDUNSKI LMFT

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
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	125697	CA

General Provider Information

NPI Number	:	1497108914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALENA KALDUNSKI LMFT

Provider Business Mailing Address
First Line	:	2043 EAST ST # 543
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	925-813-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2043 EAST ST # 543
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	925-813-5960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	08/10/2022

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