person
Carol Mendoza
Addiction (Substance Use Disorder) Counselor in Keizer, Oregon
NPI 1861063174

Carol Mendoza is an Addiction (Substance Use Disorder) Counselor based in Keizer, OR and is specialized in Addiction (Substance Use Disorder). Carol Mendoza practices in Keizer, OR. The NPI Number for Carol Mendoza is 1861063174 and holds a License No. T-21-802 (Oregon).

The current practice location address for Carol Mendoza is 1184 Mcgee Ct Ne, Keizer, OR and can be reached out via phone at 503-304-4358 and via fax at 503-304-4361.

Location: 1184 Mcgee Ct Ne, Keizer, OR, 97307-0674
person
Provider Profile Details
NPI Number
1861063174
Provider Name
Carol Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
1184 Mcgee Ct Ne, Keizer, OR, 97307-0674
Phone Number
503-304-4358
Fax Number
503-304-4361
Provider Enumeration Date
07/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-21-802 01 OR MHACBO
institution
Provider Business Practice Location Address Details
Address
1184 Mcgee Ct Ne
City
State
Zip
97303-9443
Phone Number
503-304-4358
Fax Number
503-304-4361
person
Provider Business Mailing Address Details
Address
1184 Mcgee Ct Ne
City
State
Zip
97303-9443
Phone Number
503-304-4358
Fax Number
503-304-4361
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-21-802 (Oregon)
Definition
Definition to come...
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