Individual provider · Type 1 NPI

Angela Rae Medina, LCPC

Mental Health Counselor · Chicago, IL

NPI number 1225617418 Active

Practice location

2456 W 38th St
Chicago, IL 60632-1008

Call (773) 823-7743 Map

Mailing address

PO Box 388750
Chicago, IL 60638-8750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.013465 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1225617418

Angela Rae Medina, LCPC's National Provider Identifier is 1225617418, issued on Apr 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 5, 2021.