Individual
ANITA MAE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP00001149
Contact information
Practice address
120 SOUTH 3RD STREET, YAKIMA, WA 98901
(509) 248-1800
Mailing address
120 SOUTH 3RD STREET, YAKIMA, WA 98901
(509) 865-5121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1149
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001149
WA
Other
Enumeration date
09/19/2022
Last updated
09/28/2023
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