Individual
TAHNEE ISIS MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
22584 SW 64TH WAY, BOCA RATON, FL 33428-6003
(954) 793-8667
Mailing address
22584 SW 64TH WAY, BOCA RATON, FL 33428-6003
(954) 793-8667
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2771
FL
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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