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Faith Medina
Counselor in Portsmouth, Virginia
NPI 1083385850

Faith Medina is a Counselor based in Portsmouth, VA. Faith Medina practices in Portsmouth, VA. The NPI Number for Faith Medina is 1083385850 and holds a License No. 0704014191 (Virginia).

The current practice location address for Faith Medina is 3235 Academy Ave Ste 303, Portsmouth, VA and can be reached out via phone at 757-454-2112 and via fax at 855-938-3318.

Location: 3235 Academy Ave Ste 303, Portsmouth, VA, 23707-0693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083385850
Provider Name
Faith Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
3235 Academy Ave Ste 303, Portsmouth, VA, 23707-0693
Phone Number
757-454-2112
Fax Number
855-938-3318
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3235 Academy Ave Ste 303
City
Portsmouth
State
Virginia
Zip
23703-3200
Phone Number
757-454-2112
Fax Number
855-938-3318
person
Provider Business Mailing Address Details
Address
3235 Academy Ave Ste 303
City
Portsmouth
State
Virginia
Zip
23703-3200
Phone Number
757-454-2112
Fax Number
855-938-3318
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0704014191 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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