ELISIA LOPEZ-MENDIOLA

PORTLAND, OR
NPI1528371358
Former NameFELIZA LOPEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  L8223)
Additional Taxonomies101YM0800X Counselor, Mental Health
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-07-21
Last Update Date2019-09-17
Business Address
ELISIA LOPEZ-MENDIOLA LCSW, QMHP
12121 E BURNSIDE ST
PORTLAND, OR 97216-3737
Phone number: 971-361-7764
Mailing Address
ELISIA LOPEZ-MENDIOLA LCSW, QMHP
12121 E BURNSIDE ST
PORTLAND, OR 97216-3737
Phone number: 971-361-7764