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Richard Medina, LAC
Counselor in Ridgefield Park, New Jersey
NPI 1164132049

Richard Medina is a Counselor based in Ridgefield Park, NJ. Richard Medina practices in Ridgefield Park, NJ and has the professional credentials of LAC. The NPI Number for Richard Medina is 1164132049 and holds a License No. 37AC00495200 (New Jersey).

The current practice location address for Richard Medina is 9 Euclid Ave, Ridgefield Park, NJ and can be reached out via phone at 201-304-8716. You can also correspond with Richard Medina through the mailing address at 9 EUCLID AVE, RIDGEFIELD PARK, NJ - 07660-1914 (mailing address contact number: 201-304-8716).

Location: 9 Euclid Ave, Ridgefield Park, NJ, 07660-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164132049
Provider Name
Richard Medina
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
9 Euclid Ave, Ridgefield Park, NJ, 07660-1914
Phone Number
201-304-8716
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9 Euclid Ave
City
Ridgefield Park
State
New Jersey
Zip
07660-1914
Phone Number
201-304-8716
Fax Number
person
Provider Business Mailing Address Details
Address
9 Euclid Ave
City
Ridgefield Park
State
New Jersey
Zip
07660-1914
Phone Number
201-304-8716
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37AC00495200 (New Jersey)
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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