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Individual

KRISTEN MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11811 MENAUL BLVD NE STE 3, ALBUQUERQUE, NM 87112-1788
(505) 633-6885
Mailing address
8100 WYOMING BLVD NE STE 406, ALBUQUERQUE, NM 87113-1946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0430
NM
106S00000X
Behavior Technician

Other

Enumeration date
03/13/2023
Last updated
07/01/2025
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