Individual provider · Type 1 NPI

Andres Medina Jr., MA

Mental Health Counselor · Tampa, FL

NPI number 1124388038 Active

Practice location

5707 N 22nd St
Tampa, FL 33610-4350

Fax (813) 239-8513

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

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About NPI 1124388038

Andres Medina Jr., MA's National Provider Identifier is 1124388038, issued on May 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on May 7, 2015.