Individual
MR. JONATHAN ALLEN MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2607 VINEVILLE AVE STE 107, MACON, GA 31204-0900
(478) 305-9913
Mailing address
2607 VINEVILLE AVE STE 107, MACON, GA 31204-0900
(478) 305-9913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010577
GA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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