Individual
MARJORIE Y MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1205 S 70TH ST STE 301, WEST ALLIS, WI 53214-3171
(414) 485-6302
Mailing address
8321 S 100TH ST, FRANKLIN, WI 53132-2409
(414) 719-0076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15574-132
WI
101YP2500X
Professional Counselor
Primary
7114-125
WI
Other
Enumeration date
02/09/2011
Last updated
08/28/2024
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