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Regina Marie Mendoza
Mental Health Counselor in Santa Cruz, California
NPI 1023234499

Regina Marie Mendoza is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Regina Marie Mendoza practices in Santa Cruz, CA. The NPI Number for Regina Marie Mendoza is 1023234499 and holds a License No. (California).

The current practice location address for Regina Marie Mendoza is 303 Potrero St Ste 42-103, Santa Cruz, CA and can be reached out via phone at 831-420-0120.

Location: 303 Potrero St Ste 42-103, Santa Cruz, CA, 95062-3250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023234499
Provider Name
Regina Marie Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Potrero St Ste 42-103, Santa Cruz, CA, 95062-3250
Phone Number
831-420-0120
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44AV 01 CA MEDI-CAL PRV NBR
institution
Provider Business Practice Location Address Details
Address
303 Potrero St Ste 42-103
City
Santa Cruz
State
California
Zip
95060-2779
Phone Number
831-420-0120
Fax Number
person
Provider Business Mailing Address Details
Address
303 Potrero St Ste 42-103
City
Santa Cruz
State
California
Zip
95060-2779
Phone Number
831-420-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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