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Doris Mesa Mendiola, CATC 7337-R

Counselor, Addiction (Substance Use Disorder) in Vallejo, CA. Individual provider (NPI-1).

NPI number1124476288
StatusActive
Last updated in NPPESJan 1, 2017

Details

NPI
1124476288
Entity type
Individual (NPI-1)
Name
Doris Mesa Mendiola
Credential
CATC 7337-R
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2016
Last updated
Jan 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)7337-RCAYes

Practice location

1149 Warren Ave
Vallejo, CA 94591-7512

Phone 707-552-5295

Mailing address

1149 Warren Ave
Vallejo, CA 94591-7512

Phone 707-552-5295

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