ALFONSO G MEDINA

ANAHEIM, CA
NPI1023960804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  24708)
Enumeration Date2026-02-12
Last Update Date2026-02-12
Business Address
ALFONSO G MEDINA
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1174
Mailing Address
ALFONSO G MEDINA
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1174
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