Individual provider · Type 1 NPI
Donna Elizabeth Medina, LADC
Addiction (Substance Use Disorder) Counselor · New London, CT
NPI number
1275007353
Active
Practice location
365 Montauk Ave
New London, CT 06320-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 001224 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275007353
Donna Elizabeth Medina, LADC's National Provider Identifier is 1275007353, issued on Jan 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New London, CT. The record was last updated on Nov 25, 2024.