MS. DEBORAH KATHLEEN MENDONSA NPI 1780889030

NPI Information

  • NPI: 1780889030
  • Provider Name: MS. DEBORAH KATHLEEN MENDONSA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1137 EMERALD BAY RD
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 541-5190

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NPI Details

MS. Deborah Kathleen Mendonsa is an addiction (substance use disorder) counselor in South Lake Tahoe, CA. MS. Deborah Kathleen Mendonsa NPI is 1780889030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150-207
Phone: (530) 541-5190

The enumeration date for this NPI number is 6/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)00995-LNEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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