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NPI 1720443930

NPI 1720443930 : ESTEFANA MENDOZA LPC : HARLINGEN, TX

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General NPI Number Information
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    NPI Number           |    1720443930
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    Entity Type          |    Individual 
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    Provider Name        |    ESTEFANA MENDOZA LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/15/2015
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    315 E JACKSON ST STE 4 
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    City                 |    HARLINGEN
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    State                |    TX
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    Zip                  |    78550-6849
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    Country              |    US
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    Telephone            |    956-778-6886
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    Fax                  |    210-618-0324
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Provider Business Mailing Address
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    Address Line         |    908 PAREDES LINE RD 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-2660
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    Country              |    US
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    Telephone            |    956-982-0082
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    Fax                  |    866-394-0482
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    71971
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    71971
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    License Number State |    TX
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