Individual provider · Type 1 NPI

Erica Medina

Counselor · South Bend, IN

NPI number 1962030882 Active

Practice location

17195 Cleveland Rd
South Bend, IN 46635-1415

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962030882

Erica Medina's National Provider Identifier is 1962030882, issued on Mar 27, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 24, 2023.