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Alicia Lisett Mendoza
Professional Counselor in Modesto, California
NPI 1649422569

Alicia Lisett Mendoza is a Professional Counselor based in Livingston, CA and is specialized in Professional. Alicia Lisett Mendoza practices in Modesto, CA. The NPI Number for Alicia Lisett Mendoza is 1649422569 and holds a License No. (California).

The current practice location address for Alicia Lisett Mendoza is 1700 Mchenry Village Way, Modesto, CA and can be reached out via phone at 209-550-5869.

Location: 1700 Mchenry Village Way, Modesto, CA, 95334-9763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649422569
Provider Name
Alicia Lisett Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Mchenry Village Way, Modesto, CA, 95334-9763
Phone Number
209-550-5869
Fax Number
Provider Enumeration Date
10/22/2008
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1700 Mchenry Village Way
City
Modesto
State
California
Zip
95350-4308
Phone Number
209-550-5869
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Mchenry Village Way
City
Modesto
State
California
Zip
95350-4308
Phone Number
209-550-5869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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