Individual provider · Type 1 NPI
Melinda Desiree Mendoza
Addiction (Substance Use Disorder) Counselor · San Pedro, CA
NPI number
1821794819
Active
Practice location
505 S Pacific Ave # 150
San Pedro, CA 90731-2656
Fax (866) 404-2773
Mailing address
2033 S Crescent Ave
San Pedro, CA 90731-5512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1496290123 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821794819
Melinda Desiree Mendoza's National Provider Identifier is 1821794819, issued on Feb 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Feb 1, 2023.