Individual provider · Type 1 NPI

Deliris Limary Medina, PSYD

Mental Health Counselor · San Rafael, CA

NPI number 1881766889 Active

Practice location

555 Northgate Dr, Family Service Agency
San Rafael, CA 94903-3680

Fax (415) 491-5750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPSB 31966 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1881766889

Deliris Limary Medina, PSYD's National Provider Identifier is 1881766889, issued on Nov 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.