Individual provider · Type 1 NPI

Glenda Enet Medina

Counselor · Lawrence, MA

NPI number 1114233103 Active

Practice location

15 Union St Ste 557
Lawrence, MA 01840-1866

Call (978) 651-2544 Map

Fax (978) 686-2954

Mailing address

15 Union St Suite 557
Lawrence, MA 01840

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XS888810708 (MA)

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114233103

Glenda Enet Medina's National Provider Identifier is 1114233103, issued on Aug 27, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawrence, MA. The record was last updated on Aug 27, 2010.