Individual provider · Type 1 NPI
Yvette Medina, LCPC, CADC, CAMS II
Mental Health Counselor · Berwyn, IL
NPI number
1205110780
Active
Practice location
1240 Euclid Ave Fl 2
Berwyn, IL 60402-1005
Mailing address
3244 W Beach Ave, 2nd Floor
Chicago, IL 60651-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1205110780
Yvette Medina, LCPC, CADC, CAMS II's National Provider Identifier is 1205110780, issued on Oct 3, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berwyn, IL. The record was last updated on Jan 11, 2023.