Individual
KIRSTY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS
Contact information
Practice address
1501 ROBERT J CONLAN BLVD NE, PALM BAY, FL 32905-3502
(321) 479-4083
(321) 294-5036
Mailing address
3107 VASSAR ST, MELBOURNE, FL 32901-7741
(615) 689-4808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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