Individual provider · Type 1 NPI

Luis Manuel Mendoza Jr., LAC

Mental Health Counselor · Westampton, NJ

NPI number 1962867580 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1962867580

Luis Manuel Mendoza Jr., LAC's National Provider Identifier is 1962867580, issued on Dec 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Dec 24, 2015.