CHANILL MEDINA

JERSEY CITY, NJ
NPI1104414895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-01-07
Last Update Date2025-06-17
Business Address
CHANILL MEDINA
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2000
Mailing Address
CHANILL MEDINA
563 ART LN APT 1
RIDGEFIELD, NJ 07657-1937
Phone number: 551-815-2561
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