STACY TATIANNA MEDINA

TOMS RIVER, NJ
NPI1245048545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NJ  37PC01037400)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: NJ  37PC01037400)
101Y00000X Counselor
(Licence: NJ  37PC01037400)
Enumeration Date2024-12-19
Last Update Date2024-12-31
Business Address
STACY TATIANNA MEDINA MA.Ed, LPC, NCC
2001 ROUTE 37 E
TOMS RIVER, NJ 08753-7168
Phone number: 732-288-9322
Mailing Address
STACY TATIANNA MEDINA MA.Ed, LPC, NCC
23 GIBRALTAR CT
BARNEGAT, NJ 08005-2518
Phone number: 910-258-9624