Individual
MR. DONALD D. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC, LCADC
Contact information
Practice address
61 COTTONWOOD ST, JERSEY CITY, NJ 07305-4832
(201) 370-8713
Mailing address
61 COTTONWOOD ST, JERSEY CITY, NJ 07305-4832
(201) 370-8713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00201200
NJ
101YP2500X
Professional Counselor
Primary
37PC00432200
NJ
Other
Enumeration date
10/23/2013
Last updated
02/09/2014
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