Individual provider · Type 1 NPI

Chanill Medina

Marriage & Family Therapist · Teaneck, NJ

NPI number 1104414895 Active

Practice location

121 Cedar Ln Ste 102
Teaneck, NJ 07666-4457

Call (201) 357-9885 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X37FI00255300 (NJ)
Marriage & Family Therapist 106H00000X002774 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104414895

Chanill Medina's National Provider Identifier is 1104414895, issued on Jan 7, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Teaneck, NJ. The record was last updated on Aug 13, 2026.