Individual provider · Type 1 NPI

Kadisha L. Medina, CASAC-T

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1508790031 Active

Practice location

937 Fulton St
Brooklyn, NY 11238-2347

Fax (718) 789-1759

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1508790031

Kadisha L. Medina, CASAC-T's National Provider Identifier is 1508790031, issued on Jun 10, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 10, 2026.