Individual provider · Type 1 NPI
Marina Marie Mendonca
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1760907273
Active
Practice location
650 S. Bascom Ave
San Jose, CA 95128
Mailing address
650 S Bascom Ave
San Jose, CA 95128-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760907273
Marina Marie Mendonca's National Provider Identifier is 1760907273, issued on Aug 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 21, 2022.