Individual provider · Type 1 NPI

Lillian S. Medina, CASAC-T

Addiction (Substance Use Disorder) Counselor · Kew Gardens, NY

NPI number 1821253642 Active

Practice location

80-20 Kew Gardens, Suite 704
Kew Gardens, NY 11415

Call (718) 520-1513 Map

Fax (718) 520-6460

Mailing address

15648 77th St
Howard Beach, NY 11414-2569

Other practice locations

  • 3584 Jerome Ave, Bronx, NY 10467-1006 · (718) 653-1537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20290 (NY)

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

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About NPI 1821253642

Lillian S. Medina, CASAC-T's National Provider Identifier is 1821253642, issued on Jul 21, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kew Gardens, NY. The record was last updated on Jul 16, 2021.