| Doctor Name: | MR. BRENDON LEE MENDOZA |
| NPI Number: | 1871936138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AAC, CDP |
| License Number: | CG60327789 |
| Business Practice Address: | 14216 Ne 21st St North Creek Bellevue, WA - 980073720 |
| Business Phone Number: | 4256534900 |
| Business Fax Number: | 4256534910 |
| Mailing Address: | 1600 E Olive St, Sound Mental Health SEATTLE |
| State: | WA |
| Postal Code: | 981222735 |
| Phone Number: | 2063022200 |
| Fax Number: | 2063022210 |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | CG60327789 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |