Individual provider · Type 1 NPI

Jose L. Medina, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1265801286 Active

Practice location

1285 Fulton Ave
Bronx, NY 10456-3401

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17940 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265801286

Jose L. Medina, CASAC's National Provider Identifier is 1265801286, issued on Sep 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 21, 2015.