| Doctor Name: | VIOLETA AMANDA MEJIA |
| NPI Number: | 1053750505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 10101 Slater Ave Suite 241 Fountain Valley, CA - 927084714 |
| Business Phone Number: | 7143782620 |
| Business Fax Number: | |
| Mailing Address: | 1623 Brea Blvd, FULLERTON |
| State: | CA |
| Postal Code: | 928353902 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2013 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |