Individual provider · Type 1 NPI

Andrew Mendonca

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1083588917 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083588917

Andrew Mendonca's National Provider Identifier is 1083588917, issued on Oct 2, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Oct 2, 2025.