Individual provider · Type 1 NPI

Alice Medina, LCDC

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1992271886 Active

Practice location

1852 Lockhill Selma Rd Ste 108
San Antonio, TX 78213-1500

Call (210) 271-7411 Map

Fax (210) 271-9414

Mailing address

5134 Gwenda Lea St
San Antonio, TX 78242-2416

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14074 (TX)

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

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About NPI 1992271886

Alice Medina, LCDC's National Provider Identifier is 1992271886, issued on Oct 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Oct 17, 2018.