Individual provider · Type 1 NPI

Nicole G. Medina

Marriage & Family Therapist · Tustin, CA

NPI number 1801548250 Active

Practice location

250 El Camino Real Ste 213
Tustin, CA 92780-3656

Mailing address

1751 Colorado Blvd # 180
Los Angeles, CA 90041-1348

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000X135401 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1801548250

Nicole G. Medina's National Provider Identifier is 1801548250, issued on Jan 26, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tustin, CA. The record was last updated on Sep 18, 2024.