Individual provider · Type 1 NPI

Jacquiline Medina, MA

Mental Health Counselor · Dallas, TX

NPI number 1992534523 Active

Practice location

1910 Pacific Ave Suite 2000, #1957
Dallas, TX 75201

Call (215) 774-3527 Map

Mailing address

1910 Pacific Ave Ste 2000
Dallas, TX 75201-4540

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCOUI9732 (ID)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Dallas

See all in Dallas →

About NPI 1992534523

Jacquiline Medina, MA's National Provider Identifier is 1992534523, issued on Jul 31, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Aug 11, 2026.