Mendonsa, Deborah Kathleen

Mendonsa, Deborah Kathleen is an individual health care provider with primary practice located at 1137 Emerald Bay Rd , South Lake Tahoe CA 96150-6207. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mendonsa, Deborah Kathleen can be contacted via phone (530) 541-5190.

Contact Information

Primary practice address
1137 Emerald Bay Rd South Lake Tahoe CA 96150-6207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00995-L Nevada

Profile Details

NPI number 1780889030
LBN Legal business name Mendonsa, Deborah Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 2007 - about 19 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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