Individual
MR. JONATHAN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
218 HOLLAND ST, SOMERVILLE, MA 02144-2432
(617) 764-1997
Mailing address
499 SUMNER ST, STOUGHTON, MA 02072-3433
(781) 627-5430
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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