Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAVYA MUDIAM
ActiveKAVYA MUDIAM is a Mental Health Counselor healthcare provider located in COBURG, Oregon. NPI 1508521733 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · COBURG, OR
Registration Details
- NPI Number
- 1508521733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2021 (4.7481841429582 yrs)
- Last Updated
- Jul 6, 2023
- License
-
21-QMHA-R-1774 (OR)
Practice Information
- Address
-
1 SERENITY LNCOBURG, OR, 974089350Browse OR providers · Browse ZIP 97408
- Phone
- 6156630773
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in COBURG, OR
| Name | Credential | NPI |
|---|---|---|
| JOHN DEROIN | — | 1184012379 |
| LESLIE RUND | — | 1700241056 |
| RYAN FEDERMEYER | B.S., CADC II, QMHA | 1922512359 |
| JACE DECKER | LPC, CADC I | 1427518679 |
| DELILAH GARZA | — | 1225661895 |
| JAMIE L KINCHELOE | QMHP | 1649940610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.