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Jose Demetrio Medina
Mental Health Counselor in San Jose, California
NPI 1184303828

Jose Demetrio Medina is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Jose Demetrio Medina practices in San Jose, CA. The NPI Number for Jose Demetrio Medina is 1184303828 and holds a License No. (California).

The current practice location address for Jose Demetrio Medina is 1245 E Santa Clara St, San Jose, CA and can be reached out via phone at 408-294-0500.

Location: 1245 E Santa Clara St, San Jose, CA, 95116-2337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184303828
Provider Name
Jose Demetrio Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
1245 E Santa Clara St, San Jose, CA, 95116-2337
Phone Number
408-294-0500
Fax Number
Provider Enumeration Date
07/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1245 E Santa Clara St
City
San Jose
State
California
Zip
95116-2337
Phone Number
408-294-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1245 E Santa Clara St
City
San Jose
State
California
Zip
95116-2337
Phone Number
408-294-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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