Individual provider · Type 1 NPI

John Michael Medina Jr.

Addiction (Substance Use Disorder) Counselor · San Mateo, CA

NPI number 1043910730 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18877 (CA)

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

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About NPI 1043910730

John Michael Medina Jr.'s National Provider Identifier is 1043910730, issued on Mar 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Feb 21, 2025.