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General NPI Number Information
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NPI Number | 1710626478
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Entity Type | Organization
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Legal Business Name | MENDEZ COUNSELING CENTERS, PLLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 8207 CALLAGHAN RD STE 350
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4737
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Country | US
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Telephone | 210-891-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 8615 COPPERBLUFF
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City | CONVERSE
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State | TX
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Zip | 78109-3913
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Country | US
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Telephone | 210-780-9795
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | GLORIA JEAN MENDEZ
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Credential | LPC-S
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Telephone | 210-891-5610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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