Conrad Mendoza MFT

NPI 1508198839 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1508198839
Gender Male
Enumeration Date 02/11/2010
Last Updated 11/12/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1989 VICENTE DR BLDG A
SAN LUIS OBISPO CA, 93405-6863, US
Phone (805) 235-4696
Fax
Business Location
2178 JOHNSON AVE
SAN LUIS OBISPO CA, 93401-4535, US
Phone (805) 458-8401
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC53536
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According to our database, Conrad Mendoza MFT NPI is 1508198839, taxonomy code is 106H00000X and license number is MFC53536, license state is located at California. Conrad Mendoza MFT physically located at 1989 Vicente Dr Bldg A, San Luis Obispo CA, 93405-6863. NPI Number Conrad Mendoza MFT has the Individual type.

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1508198839 NPI number is provided on an as is basis without warranty of any kind. 1508198839 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad Mendoza MFT are for informational purposes only.