Individual
MS. CRISTINA VIANEY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCDC
Contact information
Practice address
1901 DUTTON DR, SUITE E, SAN MARCOS, TX 78666-7573
(512) 396-7695
(512) 396-7633
Mailing address
1901 DUTTON DR, SUITE E, SAN MARCOS, TX 78666-7573
(512) 396-7695
(512) 396-7633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11162
TX
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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