Teresa Dejesus Mendoza, SUDCC 11
NPI #1881089647 in San Rafeal, California
Provider Information
- NPI Number
- 1881089647
- Entity Type
- Individual
- Name
- Teresa Dejesus Mendoza, SUDCC 11
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDCC 11
- Enumeration Date
- Mar 30, 2015
- Last Updated
- Jul 10, 2024
Practice Location
- Address
- 1147 LINCOLN ST
- City
- San Rafeal
- State
- California
- ZIP Code
- 94901
- Phone
- (415) 459-2395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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