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Contact Information

GRACE MENDOZA, MSC, LPC
1180 W DESERT SEASONS DR
SAN TAN VALLEY, AZ85143
 Phone: 480-390-9811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GRACE MENDOZA · (Female)

NPI # 1801344296
Status Active
Credentials MSC, LPC
Entity Individual
Enumeration date 09/14/2016
Last updated 05/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # LAC-14449
  • AZ Other 18085 LICENSURE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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