Individual ProviderDulce Yazmin MendezMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4990 Williams Ave, La Mesa, CA 91942-7409(619) 668-4200(619) 688-4200PECOS EnrollmentBased on the most recent information from CMS, provider Dulce Yazmin Mendez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1801038369Provider TypeIndividualFull NameMendez, Dulce YazminTitleMs.GenderFemaleSole ProprietorYesEnumeration Date3/30/2009Last Updated6/26/2019Contact InformationPractice LocationPractice Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4200FaxUnlisted FaxMailing LocationMailing Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 688-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense113617CaliforniaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseIM95663CaliforniaCode261QR0405XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense1497883268CaliforniaProvider IdentifiersIDDescriptionIssuerID37ALDescriptionMedicaidIssuerUnlistedCalifornia