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Provider Information for 1437592003


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MONICA D MENDOZA LPC


Sex: Female

NPI: 1437592003
Last Updated: 2023-07-20
Certification Date: 2023-07-20

Details

NameValue
NPI1437592003
Enumeration Date2013-04-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1401 HIAWATHA LN
BURKBURNETT, TX 76354-2805
United States

Phone: 940-337-3726 | Fax:940-723-4490
 
Primary Practice Address 1808 ROSE ST
WICHITA FALLS, TX 76301-4219
United States

Phone: 940-322-9456 | Fax:940-723-4490
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX66801