Individual
AMANDA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 W SIERRA MADRE AVE APT 512, AZUSA, CA 91702-1870
(626) 470-7739
Mailing address
950 W SIERRA MADRE AVE APT 512, AZUSA, CA 91702-1870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW127134
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW127134
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/17/2018
Last updated
01/26/2026
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