Individual
BETTY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0734010394
VA
175T00000X
Peer Specialist
Primary
0735001094
VA
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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