Mendoza, Randy Celina

Mendoza, Randy Celina is an individual health care provider with primary practice located at 32670 Highway 20 Unit 2 , Fort Bragg CA 95437-5708. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mendoza, Randy Celina can be contacted via phone (707) 964-1136.

Contact Information

Primary practice address
32670 Highway 20 Unit 2 Fort Bragg CA 95437-5708
Phone: (707) 964-1136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 22968 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22968 California

Profile Details

NPI number 1518013481
LBN Legal business name Mendoza, Randy Celina
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated May 15th, 2020 - about 4 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.

Request for update

Popular Providers