Individual provider · Type 1 NPI

Richard Desmund Medina

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1811769979 Active

Practice location

907 Pico Blvd
Santa Monica, CA 90405-1326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1811769979

Richard Desmund Medina's National Provider Identifier is 1811769979, issued on Oct 23, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 23, 2023.