Individual
DIANA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 413-4190
Mailing address
25581 ELDER AVE, MORENO VALLEY, CA 92557-7601
(951) 413-4190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12748
CA
101YP2500X
Professional Counselor
—
CA
Other
Enumeration date
06/04/2019
Last updated
04/04/2024
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