Individual
IVELIZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S CEDAR RIDGE DR STE B202, DUNCANVILLE, TX 75116-4579
(214) 579-4004
Mailing address
PO BOX 180312, DALLAS, TX 75218-0312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82406
TX
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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