Individual
MS. DALE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 797-2534
Mailing address
116 WHITE HORSE RUN, BAHAMA, NC 27503-8980
(919) 797-2534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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