Individual
ADAMARIS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 BARRANCA DR, EL PASO, TX 79935-4601
(915) 779-5600
Mailing address
1219 BARRANCA DR, EL PASO, TX 79935-4601
(915) 779-5600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0141341
NM
101YM0800X
Mental Health Counselor
Primary
69222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141341
NEW MEXICO MEDICIAD
NM
Enumeration date
08/11/2011
Last updated
12/18/2012
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