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Mr. Andres Medina JR., MA
Counselor in Tampa, Florida
NPI 1124388038

Andres Medina JR. is a Counselor based in Tampa, FL. Andres Medina JR. practices in Tampa, FL and has the professional credentials of MA. The NPI Number for Andres Medina JR. is 1124388038 and holds a License No. (Florida).

The current practice location address for Andres Medina JR. is 5707 N 22Nd St, Tampa, FL and can be reached out via phone at 813-239-8448 and via fax at 813-239-8513.

Location: 5707 N 22Nd St, Tampa, FL, 33610-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124388038
Provider Name
Andres Medina JR.
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
5707 N 22Nd St, Tampa, FL, 33610-4350
Phone Number
813-239-8448
Fax Number
813-239-8513
Provider Enumeration Date
05/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-239-8448
Fax Number
813-239-8513
person
Provider Business Mailing Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-239-8448
Fax Number
813-239-8513
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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