Individual provider · Type 1 NPI

Lisa C. Medina, LCDC

Addiction (Substance Use Disorder) Counselor · Austin, TX

NPI number 1023318813 Active

Practice location

5808 Balcones Dr, 201
Austin, TX 78731-4255

Call (512) 804-3650 Map

Fax (512) 476-0217

Mailing address

2010 Rockland Dr
Austin, TX 78748-3066

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11182 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023318813

Lisa C. Medina, LCDC's National Provider Identifier is 1023318813, issued on Oct 26, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Nov 5, 2012.