Individual provider · Type 1 NPI

Kimberly Jayne Mendoza, LMHC

Mental Health Counselor · Cocoa, FL

NPI number 1588315907 Active

Practice location

1612 Cocoa Bay Blvd
Cocoa, FL 32926-4701

Call (321) 508-4903 Map

Mailing address

2311 State Road 524 # 303
Cocoa, FL 32926-5896

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XMH16864 (FL)
Mental Health Counselor Primary 101YM0800XMH16864 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1588315907

Kimberly Jayne Mendoza, LMHC's National Provider Identifier is 1588315907, issued on Jan 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cocoa, FL. The record was last updated on Jan 18, 2022.