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Contact Information

JEFFREY MENDILLO, LCSW
206 A S LOOP 336 W
PMB: 312
CONROE, TX77304
 Phone: 936-701-0894
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JEFFREY MENDILLO · (Male)

NPI # 1265026835
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/24/2021
Last updated 02/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 65911
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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