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NPI 1265099501

NPI 1265099501 : MENDY MEJIA LMFT : RANCHO CUCAMONGA, CA

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General NPI Number Information
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    NPI Number           |    1265099501
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    Entity Type          |    Individual 
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    Provider Name        |    MENDY MEJIA LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2019
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    7252 ARCHIBALD AVE 
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    City                 |    RANCHO CUCAMONGA
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    State                |    CA
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    Zip                  |    91701-5017
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    Country              |    US
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    Telephone            |    909-414-1346
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12065 MORRISON ST 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92555-1802
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    Country              |    US
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    Telephone            |    909-549-0799
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    129587
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    License Number State |    CA
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