Individual provider · Type 1 NPI
Jaquana Mendez, CASAC
Addiction (Substance Use Disorder) Counselor · Watertown, NY
NPI number
1003474511
Active
Practice location
1575 Washington St
Watertown, NY 13601-9371
Fax (315) 779-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003474511
Jaquana Mendez, CASAC's National Provider Identifier is 1003474511, issued on May 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Watertown, NY. The record was last updated on May 30, 2019.