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Individual
LISA D MENDOZA
Active
Individual
LISA D MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC04077
MN
101YM0800X
Mental Health Counselor
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
MN
Other
Enumeration date
03/24/2022
Last updated
08/06/2025
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