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1811509680
YESSICA MENDOZA
BOISE, ID
NPI
1811509680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-7788)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
YESSICA MENDOZA LPC
7025 W EMERALD ST
BOISE, ID 83704-8657
Phone number: 208-947-0863
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Mailing Address
YESSICA MENDOZA LPC
7025 W EMERALD ST
BOISE, ID 83704-8657
Phone number: 208-947-0863
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