Individual provider · Type 1 NPI

Jonathan Mendoza, LPC, LMFT-A

Professional Counselor · Fort Worth, TX

NPI number 1699341677 Active

Practice location

7535 Oakmont Blvd Ste 101
Fort Worth, TX 76132-4237

Call (800) 972-0643 Map

Mailing address

712 Lionel Way
Fort Worth, TX 76108-4674

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X81654 (TX)
Mental Health Counselor 101YM0800X81654 (TX)
Marriage & Family Therapist 106H00000X203615 (TX)
Professional Counselor Primary 101YP2500X81654 (TX)

Professional Counselor: Definition to come...

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About NPI 1699341677

Jonathan Mendoza, LPC, LMFT-A's National Provider Identifier is 1699341677, issued on Jun 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 1, 2021.