Individual
MS. ANNETTE H MENDOZA-MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
693 KICKAPOO DR, VENTURA, CA 93001-4409
(805) 280-5129
(831) 855-0186
Mailing address
1129 MARICOPA HWY, A144, OJAI, CA 93023-3126
(805) 280-5129
(831) 855-0186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC 41523
CA
106H00000X
Marriage & Family Therapist
Primary
41523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8581042
—
CA
Enumeration date
10/26/2006
Last updated
04/17/2024
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