MARICELLA PEREZ MENDOZA CADC 1 NPI 1730567421

NPI Information

NPI: 1730567421
Provider Name: MARICELLA PEREZ MENDOZA, CADC 1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1904 RICHLAND AVE
CERES, CA
ZIP 95307
Phone: (209) 525-7411
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Maricella Perez Mendoza, CADC 1 is an addiction (substance use disorder) counselor in Ceres, CA. Maricella Perez Mendoza, CADC 1 NPI is 1730567421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1904 RICHLAND AVE
CERES, CA
ZIP 95307-562
Phone: (209) 525-7411
Fax: (209) 541-2083

The enumeration date for this NPI number is 5/13/2015 and was last updated on 1/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C6451214	CALIFORNIA	Yes
2	374700000X	Technician		C6451214	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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