Individual
MALORY EMALEE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
301 BOULDER ST UNIT 1406, MINTURN, CO 81645-5067
(774) 208-3937
Mailing address
301 BOULDER ST UNIT 1406, MINTURN, CO 81645-5067
(774) 208-3937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0023014
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002705
CO
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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