Individual provider · Type 1 NPI

Jacqueline Medina

Mental Health Counselor · New York, NY

NPI number 1003552522 Active

Practice location

160 W 86th St
New York, NY 10024-4018

Mailing address

5272 72nd St Fl 1
Maspeth, NY 11378-1436

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003552522

Jacqueline Medina's National Provider Identifier is 1003552522, issued on May 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on May 8, 2022.