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Individual

CATHERINE MCGLAUN MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
122 S MAIN ST, WOODSTOCK, VA 22664-1423
(540) 335-0660
(540) 459-1739
Mailing address
3178 JADWYN RD, WOODSTOCK, VA 22664-2908
(540) 335-0660
(540) 459-1739

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003191
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197831
PROVIDER # ANTHEM
VA
05
197831
VA
Enumeration date
08/29/2006
Last updated
06/02/2011
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