Ivan Mendivil is a Counselor based in San Diego, CA. Ivan Mendivil practices in San Diego, CA. The NPI Number for Ivan Mendivil is 1700547619 and holds a License No. (California).
The current practice location address for Ivan Mendivil is 3132 Jefferson St, San Diego, CA and can be reached out via phone at 619-683-3100.
Location: 3132 Jefferson St, San Diego, CA, 92110-4421
Provider Profile Details
NPI Number
1700547619
Provider Name
Ivan Mendivil
Credential
Provider Entity Type
Individual
Gender
Male
Address
3132 Jefferson St, San Diego, CA, 92110-4421
Phone Number
619-683-3100
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3132 Jefferson St
City
State
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
Provider Business Mailing Address Details
Address
3132 Jefferson St
City
State
Zip
92110-4421
Phone Number
619-683-3100
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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