Individual provider · Type 1 NPI

John G. Medina

Mental Health Counselor · San Diego, CA

NPI number 1154760262 Active

Practice location

10981 San Diego Mission Rd Ste 110
San Diego, CA 92108-2448

Call (619) 521-9569 Map

Fax (619) 521-0867

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154760262

John G. Medina's National Provider Identifier is 1154760262, issued on Jun 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jun 21, 2013.