Individual provider · Type 1 NPI
Jannelis I. Medina
Addiction (Substance Use Disorder) Counselor · Springfield, MA
NPI number
1730801283
Active
Practice location
1985 Main St Ste 305
Springfield, MA 01103-1074
Other practice locations
- 19 Anderson St, Lowell, MA 01852-5310 · (978) 332-6524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1730801283
Jannelis I. Medina's National Provider Identifier is 1730801283, issued on Sep 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, MA. The record was last updated on Sep 12, 2022.