Individual
JOSE ANGEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4054 MCKINNEY AVE STE 102, DALLAS, TX 75204-2050
(214) 520-6308
(214) 521-9172
Mailing address
4054 MCKINNEY AVE STE 102, DALLAS, TX 75204-2050
(214) 520-6308
(214) 521-9172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
84859
TX
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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