NPI 1093179053

Jedidah Wangondu, LPC

Practitioner Professional Counselor Daphne, AL

Practice location

Address: 1605 Main St, Daphne, AL 36526-4463
Phone: (251) 621-5360
Fax: (251) 621-5361

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 3418 (AL)

Other Counselor providers in Alabama →

Registry record

NPI: 1093179053
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2016
Record last updated: 6 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.