Individual provider · Type 1 NPI

Carol Mendoza

Addiction (Substance Use Disorder) Counselor · Keizer, OR

NPI number 1861063174 Active

Practice location

1184 Mcgee Ct NE
Keizer, OR 97303-9443

Call (503) 304-4358 Map

Fax (503) 304-4361

Mailing address

PO Box 20674
Keizer, OR 97307-0674

Other practice locations

  • 465 Commercial St NE # 150, Salem, OR 97301-3414 · (503) 362-2780

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-21-802 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

3 other providers at this address

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About NPI 1861063174

Carol Mendoza's National Provider Identifier is 1861063174, issued on Jul 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keizer, OR. The record was last updated on Jul 7, 2021.