Mendoza, Mario

Mendoza, Mario is an individual health care provider with primary practice located at 320 Mccombs Rd Ste C , Chaparral NM 88081-7937. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mendoza, Mario can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
320 Mccombs Rd Ste C Chaparral NM 88081-7937
Phone: (575) 882-5100
Fax: (575) 882-1151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T-0160991 New Mexico

Profile Details

NPI number 1750717526
LBN Legal business name Mendoza, Mario
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750717526 NPPES
New Mexico MEDICAID 64153274

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