Individual
MR. DONALD D. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC, LCADC
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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