Mendez, Genesis Marie

Mendez, Genesis Marie is an individual health care provider with primary practice located at 3433 W Shaw Ave Ste 107 , Fresno CA 93711-3229. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Mendez, Genesis Marie can be contacted via phone (559) 476-2115.

Contact Information

Primary practice address
3433 W Shaw Ave Ste 107 Fresno CA 93711-3229
Phone: (559) 476-2115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-QBRXMU California

Profile Details

NPI number 1700435351
LBN Legal business name Mendez, Genesis Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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