Individual provider · Type 1 NPI

Alex Medina

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1750106175 Active

Practice location

620 N Aurora St Ste 3
Stockton, CA 95202-2276

Call (209) 468-3720 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18576 (CA)

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

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About NPI 1750106175

Alex Medina's National Provider Identifier is 1750106175, issued on Nov 20, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Nov 20, 2024.