Individual provider · Type 1 NPI

Maryfatima Medina

Mental Health Counselor · Fairfield, CA

NPI number 1760893226 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760893226

Maryfatima Medina's National Provider Identifier is 1760893226, issued on May 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Aug 27, 2014.