DEVON LACEY MEDINA

PASADENA, CA
NPI1598332553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  102559)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  102559)
225400000X Rehabilitation Practitioner
Enumeration Date2021-06-08
Last Update Date2023-06-13
Business Address
DEVON LACEY MEDINA MSW
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 818-644-9187
Mailing Address
DEVON LACEY MEDINA MSW
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: