LISA M MEDINA

WOODLAND, CA
NPI1831688472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A063381123)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1298150318)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-09
Last Update Date2023-11-03
Business Address
LISA M MEDINA RH0010460323
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-405-2815
Mailing Address
LISA M MEDINA RH0010460323
215 W BEAMER ST
WOODLAND, CA 95695-2510
Phone number: 530-405-2815