Individual provider · Type 1 NPI

Jesus Medina

Mental Health Counselor · San Mateo, CA

NPI number 1245740323 Active

Practice location

225 37th Ave
San Mateo, CA 94403-4324

Call (000) 000-0000 Map

Mailing address

236 Higdon Ave Apt 4
Mountain View, CA 94041-1085

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 1245740323

Jesus Medina's National Provider Identifier is 1245740323, issued on Oct 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Oct 3, 2017.