Provider Demographics
NPI:1952149767
Name:JULIA MENDOZA MARRIAGE AND FAMILY COUNSELING PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:JULIA MENDOZA MARRIAGE AND FAMILY COUNSELING PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-692-5955
Mailing Address - Street 1:804 DELEON CT
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-1727
Mailing Address - Country:US
Mailing Address - Phone:951-692-5955
Mailing Address - Fax:
Practice Address - Street 1:804 DELEON CT
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-1727
Practice Address - Country:US
Practice Address - Phone:951-692-5955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty