Individual provider · Type 1 NPI
Lydia Ann Mendez, SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1821561168
Active
Practice location
3703 N Richards St
Milwaukee, WI 53212
Mailing address
1730 W Washington St
Milwaukee, WI 53204-2066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18748-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821561168
Lydia Ann Mendez, SAC-IT's National Provider Identifier is 1821561168, issued on Jan 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 9, 2019.