Individual provider · Type 1 NPI

Lisa M. Medina, RH0010460323

Addiction (Substance Use Disorder) Counselor · Woodland, CA

NPI number 1831688472 Active

Practice location

215 W Beamer St
Woodland, CA 95695-2510

Fax (530) 204-5255

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1298150318 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA063381123 (CA)

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About NPI 1831688472

Lisa M. Medina, RH0010460323's National Provider Identifier is 1831688472, issued on May 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodland, CA. The record was last updated on Nov 3, 2023.