Individual
ALEXA M. MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CADTP
Contact information
Practice address
4660 EL CAJON BLVD STE 202, SAN DIEGO, CA 92115-4465
(619) 517-2841
Mailing address
4660 EL CAJON BLVD, SAN DIEGO, CA 92115-4450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10229
CA
Other
Enumeration date
01/16/2020
Last updated
01/23/2020
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