Individual
JENNIFER ELAINE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
59487
CA
104100000X
Social Worker
Primary
81195
CA
Other
Enumeration date
11/22/2011
Last updated
05/12/2022
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