Individual provider · Type 1 NPI
Teresa Dejesus Mendoza, SUDCC 11
Addiction (Substance Use Disorder) Counselor · San Rafeal, CA
NPI number
1881089647
Active
Practice location
1147 Lincoln St
San Rafeal, CA 94901
Mailing address
1563 Mission St
San Francisco, CA 94103-2543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10546 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in San Rafeal
About NPI 1881089647
Teresa Dejesus Mendoza, SUDCC 11's National Provider Identifier is 1881089647, issued on Mar 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafeal, CA. The record was last updated on Jul 10, 2024.