Individual
MAIRA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC200001626
Contact information
Practice address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 413-6647
Mailing address
810 KENNEDY ST NW APT 205, WASHINGTON, DC 20011-2947
(202) 413-6647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC200001626
DC
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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