Individual provider · Type 1 NPI

Mark Stanley Medina

Mental Health Counselor · Easthampton, MA

NPI number 1972025906 Active

Practice location

179 Northampton St
Easthampton, MA 01027-1057

Call (413) 588-5555 Map

Mailing address

12 Carol St
Ludlow, MA 01056-2110

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972025906

Mark Stanley Medina's National Provider Identifier is 1972025906, issued on Jul 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Easthampton, MA. The record was last updated on Jul 11, 2017.