Individual provider · Type 1 NPI

Manuel Amado Medina

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1972208965 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Call (707) 423-5173 Map

Mailing address

468 Crimson Cir
Vacaville, CA 95687-7631

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972208965

Manuel Amado Medina's National Provider Identifier is 1972208965, issued on Mar 31, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Mar 31, 2023.