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Diana Azucena Medina
Mental Health Counselor in Corona, California
NPI 1205478617

Diana Azucena Medina is a Mental Health Counselor based in Corona, CA and is specialized in Mental Health. Diana Azucena Medina practices in Corona, CA. The NPI Number for Diana Azucena Medina is 1205478617 and holds a License No. (California).

The current practice location address for Diana Azucena Medina is 7979 Minnesota Rd Apt F, Corona, CA and can be reached out via phone at 951-312-7201.

Location: 7979 Minnesota Rd Apt F, Corona, CA, 92880-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205478617
Provider Name
Diana Azucena Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
7979 Minnesota Rd Apt F, Corona, CA, 92880-2118
Phone Number
951-312-7201
Fax Number
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7979 Minnesota Rd Apt F
City
Corona
State
California
Zip
92881-4316
Phone Number
951-312-7201
Fax Number
person
Provider Business Mailing Address Details
Address
7979 Minnesota Rd Apt F
City
Corona
State
California
Zip
92881-4316
Phone Number
951-312-7201
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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