Individual provider · Type 1 NPI

Jennifer Lynn Medina, M.A., P.C.C.I

Mental Health Counselor · Menlo Park, CA

NPI number 1760791537 Active

Practice location

1225 Crane St, Ste 205
Menlo Park, CA 94025-4257

Call (650) 319-7225 Map

Fax (650) 618-5556

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X1035 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1760791537

Jennifer Lynn Medina, M.A., P.C.C.I's National Provider Identifier is 1760791537, issued on Sep 28, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Menlo Park, CA. The record was last updated on Jun 14, 2016.