Individual
CELENE MARIE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTAKE SPECIALIST
Contact information
Practice address
350 E GOBBI ST, UKIAH, CA 95482-5511
(707) 467-2010
(707) 467-2010
Mailing address
PO BOX 1449, UKIAH, CA 95482-1449
(707) 472-0350
(707) 472-0358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
09/18/2023
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