person
Ecstassy N Mendoza
Peer Specialist in Riverside, California
NPI 1619744935

Ecstassy N Mendoza is a Peer Specialist based in Corona, CA. Ecstassy N Mendoza practices in Riverside, CA. The NPI Number for Ecstassy N Mendoza is 1619744935 and holds a License No. (California).

The current practice location address for Ecstassy N Mendoza is 9890 County Farm Rd Ste 3, Riverside, CA and can be reached out via phone at 951-509-8320. You can also correspond with Ecstassy N Mendoza through the mailing address at 3900 S TEMESCAL ST SPC 5, CORONA, CA - 92879-1869 (mailing address contact number: 951-256-6776).

Location: 9890 County Farm Rd Ste 3, Riverside, CA, 92879-1869
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Provider Profile Details
NPI Number
1619744935
Provider Name
Ecstassy N Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
9890 County Farm Rd Ste 3, Riverside, CA, 92879-1869
Phone Number
951-509-8320
Fax Number
Provider Enumeration Date
12/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9890 County Farm Rd Ste 3
City
State
Zip
92503-3678
Phone Number
951-509-8320
Fax Number
person
Provider Business Mailing Address Details
Address
9890 County Farm Rd Ste 3
City
State
Zip
92503-3678
Phone Number
951-509-8320
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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