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Elaine Mendoza
Addiction (Substance Use Disorder) Counselor in Montebello, California
NPI 1184094211

Elaine Mendoza is an Addiction (Substance Use Disorder) Counselor based in Montebello, CA and is specialized in Addiction (Substance Use Disorder). Elaine Mendoza practices in Montebello, CA. The NPI Number for Elaine Mendoza is 1184094211 and holds a License No. (California).

The current practice location address for Elaine Mendoza is 3316 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-722-4529.

Location: 3316 W Beverly Blvd, Montebello, CA, 90640-1537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184094211
Provider Name
Elaine Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
3316 W Beverly Blvd, Montebello, CA, 90640-1537
Phone Number
323-722-4529
Fax Number
Provider Enumeration Date
10/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02768010 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3316 W Beverly Blvd
City
Montebello
State
California
Zip
90640-1537
Phone Number
323-722-4529
Fax Number
person
Provider Business Mailing Address Details
Address
3316 W Beverly Blvd
City
Montebello
State
California
Zip
90640-1537
Phone Number
323-722-4529
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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