Ethan C Mandelkern
Professional Counselor | 19+ years Exp
419 Chestnut St, Suite #2, Mount Shasta
California, 96067-2918
530-918-8348 530-918-5477
Maps & DirectionsEthan C Mandelkern is a Mount Shasta, California based counselor with 19 years of experience in Professional Counselor. He completed his graduation from Other in 2006. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ethan C Mandelkern is LCSW64679 for Social Worker in California. His current practice location is 419 Chestnut St, Suite #2, Mount Shasta. Patients can book an appointment with him at 530-918-8348.
Ethan C Mandelkern is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Ethan C Mandelkern speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ethan C Mandelkern |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 419 Chestnut St, Suite #2, Mount Shasta,
California, 96067-2918 |
| Phone: | 530-918-8348 |
| Fax: | 530-918-5477 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6204137771 |
| Enrollment ID: | I20151229001508 |
| NPI Number: | 1023224623 |
| NPI Enumeration Date: | 14 May, 2007 |
| NPI Last Update On: | 12 Aug, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan C Mandelkern are as mentioned below.
| License Number | Specialization | State | Status | |
| LCSW64679 | Social Worker | California | Primary | |
| LPCC726 | Professional Counselor | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 419 Chestnut St, Suite #2
Mount Shasta, California |
| Zip: | 96067-2918 |
| Phone Number: | 530-918-8348 |
| Fax Number: | 530-918-5477 |
Patients can reach Ethan C Mandelkern at
419 Chestnut St, Suite #2, Mount Shasta, California or can
call to book an appointment on 530-918-8348.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.