Individual
ANGELICA LYNN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4 PRINCE VALLEY CT, PUEBLO, CO 81005-2140
(719) 252-0243
Mailing address
4 PRINCE VALLEY CT, PUEBLO, CO 81005-2140
(719) 252-0243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0018541
CO
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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