Provider Demographics
NPI:1215717491
Name:MENDEZ, ASHLEY YAJAIRA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:YAJAIRA
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-3911
Mailing Address - Country:US
Mailing Address - Phone:510-383-0907
Mailing Address - Fax:
Practice Address - Street 1:24301 SOUTHLAND DR STE 207
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1541
Practice Address - Country:US
Practice Address - Phone:510-383-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor