Mendez, Genesis Marie
Mendez, Genesis Marie is an individual health care provider with primary practice located at 3433 W Shaw Ave Ste 107 , Fresno CA 93711-3229. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Mendez, Genesis Marie can be contacted via phone (559) 476-2115.Contact Information
Primary practice address
3433 W Shaw Ave Ste 107
Fresno CA 93711-3229
Phone: (559) 476-2115
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | MPSS-QBRXMU | California |
Profile Details
NPI number | 1700435351 |
---|---|
LBN Legal business name | Mendez, Genesis Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2019 |
Last updated | Jan 9th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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