Individual
MRS. IRMA PEREZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR ADDICTION
Contact information
Practice address
1530 3RD ST STE 202, LINCOLN, CA 95648-2501
(916) 434-8927
(916) 434-0678
Mailing address
406 SUNRISE AVE. SUITE310A ROSEVILLE CA. 95661, 1530 THIRD STREET, SUITE 202, LINCOLN, CA 95648
(916) 434-8927
(916) 434-0678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
31-001-04-120
CA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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