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Individual
JONATHAN MENDOZA
Active
Individual
JONATHAN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
81654
TX
101YM0800X
Mental Health Counselor
81654
TX
101YP2500X
Professional Counselor
Primary
81654
TX
106H00000X
Marriage & Family Therapist
203615
TX
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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