Individual
MARK MENDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV, BCC
Contact information
Practice address
4417 HUNGARY GLEN TER, HENRICO, VA 23294-6048
(804) 508-3078
Mailing address
4417 HUNGARY GLEN TER, HENRICO, VA 23294-6048
(804) 508-3078
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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