Individual
AVRIAL T MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
606 RIPPLEMEAD RD, RIPPLEMEAD, VA 24150-3106
(540) 227-0005
(877) 384-3084
Mailing address
PO BOX 32, RIPPLEMEAD, VA 24150-0032
(540) 227-0005
(877) 384-3084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005012
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811435142
—
VA
Enumeration date
02/07/2017
Last updated
01/20/2021
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