Individual provider · Type 1 NPI

Louisiana Medina

Mental Health Counselor · Los Angeles, CA

NPI number 1861774978 Active

Practice location

510 S Vermont Ave
Los Angeles, CA 90020-1912

Mailing address

3751 Stocker St
Los Angeles, CA 90008-5101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Social Worker 104100000X76169 (CA)

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About NPI 1861774978

Louisiana Medina's National Provider Identifier is 1861774978, issued on Sep 14, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 26, 2023.