Henry Joseph Mendoza Cordova, LCSW Valid NPI
Individual provider · Clinical Social Worker · Vista, CA
- NPI
- 1720721939
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 107659 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-04-15
- Last updated
- 2023-09-21
Practice location
780 Shadowridge Dr
Vista, CA 92083-7986
(833) 574-2273