Teresa Dejesus Mendoza, SUDCC 11 - Counselor in San Rafeal, CA

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Teresa Dejesus Mendoza, SUDCC 11 is a Counselor - Addiction (substance Use Disorder) based in San Rafeal, California. Teresa Dejesus Mendoza is licensed to practice in California (license number 10546) and her current practice location is 1147 Lincoln St, San Rafeal, California. She can be reached at her office (for appointments etc.) via phone at (415) 459-2395.

NPI number for Teresa Dejesus Mendoza is 1881089647 and her current mailing address is 1563 Mission St, San Francisco, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881089647.

Contact Information

Teresa Dejesus Mendoza, SUDCC 11
1147 Lincoln St,
San Rafeal, CA 94901
(415) 459-2395
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTeresa Dejesus Mendoza
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1147 Lincoln St, San Rafeal, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881089647
  • Provider Enumeration Date: 03/30/2015
  • Last Update Date: 07/10/2024

Medical Identifiers

Medical identifiers for Teresa Dejesus Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881089647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 10546 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Dejesus Mendoza is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teresa Dejesus Mendoza, SUDCC 11
1563 Mission St,
San Francisco, CA 94103-2543

Ph: (415) 762-3714		Teresa Dejesus Mendoza, SUDCC 11
1147 Lincoln St,
San Rafeal, CA 94901

Ph: (415) 459-2395

Reviews and Comments


Counselor in San Rafeal, CA

Lanecia Richardson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 135 Paul Drive, San Rafeal, CA 92404
Phone: 559-386-4323    

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