Maira Mendoza, LGPC200001626
Maira Mendoza, LGPC200001626 is a Mental Health Counselor in Washington, District of Columbia. Qualified in 2023, 3 years ago. Practices with La Clinica Del Pueblo Inc, an 18-clinician group and accepts Medicare assignment. Licensed in District of Columbia.
- Years since qualifying
- 3
- Licensed in
- DC
- In the registry since
- 2023
Practice location Address checks out
2831 15th St NWWashington, DC 20009-4607
Phone: (202) 413-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LGPC200001626 (DC) |
|---|
Record details
| NPI number | 1376323857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LGPC200001626 |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | La Clinica Del Pueblo Inc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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