Individual provider · Type 1 NPI

Simone Mendez

Professional Counselor · Tucker, GA

NPI number 1104274273 Active

Practice location

2362 Main St Ste B
Tucker, GA 30084-4477

Call (770) 939-5800 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC008928 (GA)
Mental Health Counselor 101YM0800XLPC008928 (GA)
Professional Counselor Primary 101YP2500XLPC008928 (GA)

Professional Counselor: Definition to come...

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About NPI 1104274273

Simone Mendez's National Provider Identifier is 1104274273, issued on May 31, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on May 31, 2016.