Individual provider · Type 1 NPI

Josie Medina

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1740600485 Active

Practice location

1735 Enterprise Dr, Suite 105A
Fairfield, CA 94533-6822

Call (707) 425-1799 Map

Fax (707) 425-1081

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 1740600485

Josie Medina's National Provider Identifier is 1740600485, issued on Apr 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Apr 21, 2014.