Individual
AIDA DOLORES MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
Mailing address
PO BOX 1445, CHEHALIS, WA 98532-0378
(360) 740-5390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC60037413
WA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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