Jaquana Mendez
Addiction Counselor (Substance Use Disorder)
1575 Washington St
Watertown
, New York 13601-9371
Jaquana Mendez
Addiction Counselor (Substance Use Disorder)
1575 Washington St
Watertown
, New York 13601-9371
(315) 779-5028
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jaquana Mendez
- 1575 Washington St
- Watertown, NY
- Zip : 13601-9371
- Fax : (315) 779-5028
- Phone : (315) 779-5060
Second Address
- Jaquana Mendez
- 1575 Washington St
- Watertown, NY
- Zip : 13601-9371
- Fax : (315) 779-5028
- Phone : (315) 779-5060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003474511 |
|---|---|
| Provider Name | Jaquana Mendez |
| First Address | Watertown, NY 13601-9371 |
| Second Address | Watertown, NY 13601-9371 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2019 |
| Last Update Date | 30/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03001594 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.