Individual
MR. ANTONIO MENDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
6621 DONIPHAN DR STE G, CANUTILLO, TX 79835-5005
(915) 877-5100
Mailing address
6621 DONIPHAN DR STE G, CANUTILLO, TX 79835-5005
(915) 877-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0106371
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VNM30451NI
—
NM
Enumeration date
08/10/2007
Last updated
08/10/2007
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