Individual
JUDITH MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA;CT;C-HCLC
Contact information
Practice address
4410 FEATHER ST, COCOA, FL 32927-8029
(321) 607-2779
Mailing address
4410 FEATHER ST, COCOA, FL 32927-8029
(321) 607-2779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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