Individual provider · Type 1 NPI

Rosa Medina

Mental Health Counselor · Granada Hills, CA

NPI number 1699827592 Active

Practice location

10605 Balboa Blvd
Granada Hills, CA 91344-6342

Fax (818) 832-6197

Mailing address

PO Box 34054
Granada Hills, CA 91394-4054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW12922 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1699827592

Rosa Medina's National Provider Identifier is 1699827592, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Granada Hills, CA. The record was last updated on Jul 8, 2007.