Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA DEJESUS MENDOZA, SUDCC 11
Active Sole ProprietorTERESA DEJESUS MENDOZA, SUDCC 11 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN RAFEAL, California. NPI 1881089647 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN RAFEAL, CA
Registration Details
- NPI Number
- 1881089647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2015 (11.396957737757 yrs)
- Last Updated
- Jul 10, 2024
- License
-
10546 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1147 LINCOLN STSAN RAFEAL, CA, 94901Browse CA providers · Browse ZIP 94901
- Phone
- 4154592395
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN RAFEAL, CA
| Name | Credential | NPI |
|---|---|---|
| LANECIA RICHARDSON | — | 1366839938 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.