Individual provider · Type 1 NPI

Benjamin Medina

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1780978692 Active

Practice location

5935 Van Nuys Blvd
Van Nuys, CA 91401-3624

Call (818) 285-1900 Map

Fax (181) 285-1906

Mailing address

PO Box 921015
Sylmar, CA 91392-1015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X071425-II (CA)

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

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About NPI 1780978692

Benjamin Medina's National Provider Identifier is 1780978692, issued on Jun 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 8, 2011.