Individual provider · Type 1 NPI

Daniel Ricardo Medina

Peer Specialist · Sacramento, CA

NPI number 1811204159 Active

Practice location

7171 Bowling Dr Ste 300
Sacramento, CA 95823-2043

Call (916) 394-9195 Map

Fax (916) 392-2827

Mailing address

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1811204159

Daniel Ricardo Medina's National Provider Identifier is 1811204159, issued on Sep 8, 2010. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Nov 4, 2021.