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Ms. Melissa Ann Medina
Peer Specialist in San Diego, California
NPI 1053991596

Melissa Ann Medina is a Peer Specialist based in San Diego, CA. Melissa Ann Medina practices in San Diego, CA. The NPI Number for Melissa Ann Medina is 1053991596 and holds a License No. (California).

The current practice location address for Melissa Ann Medina is 734 10Th Ave, San Diego, CA and can be reached out via phone at 619-239-4663.

Location: 734 10Th Ave, San Diego, CA, 92101-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053991596
Provider Name
Melissa Ann Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
734 10Th Ave, San Diego, CA, 92101-6502
Phone Number
619-239-4663
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider Business Mailing Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-4663
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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