Individual
MAYRA NANCY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1215 LAMBDA DR, RAWLINS, WY 82301-4450
(307) 321-8500
(307) 324-5234
Mailing address
1215 LAMBDA DR, RAWLINS, WY 82301-4450
(307) 321-8500
(307) 324-5234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-631
WY
101YP2500X
Professional Counselor
Primary
1378
WY
Other
Enumeration date
01/24/2012
Last updated
02/28/2024
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