Individual provider · Type 1 NPI

Teresa Byrd Mendoza

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1114430865 Active

Practice location

3125 Mchenry Ave Ste D
Modesto, CA 95350-1451

Fax (209) 523-6912

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1243640217 (CA)

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

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About NPI 1114430865

Teresa Byrd Mendoza's National Provider Identifier is 1114430865, issued on Nov 15, 2017. 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 Nov 15, 2017.