NIKITA DAWN MENDEZ

KELSO, WA
NPI1881164317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60743994)
Enumeration Date2018-11-27
Last Update Date2018-11-27
Business Address
NIKITA DAWN MENDEZ CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
NIKITA DAWN MENDEZ CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806