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Jesus Medina
Mental Health Counselor in San Mateo, California
NPI 1245740323

Jesus Medina is a Mental Health Counselor based in Mountain View, CA and is specialized in Mental Health. Jesus Medina practices in San Mateo, CA. The NPI Number for Jesus Medina is 1245740323 and holds a License No. (California).

The current practice location address for Jesus Medina is 225 37Th Ave, San Mateo, CA and can be reached out via phone at 000-000-0000.

Location: 225 37Th Ave, San Mateo, CA, 94041-1085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245740323
Provider Name
Jesus Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 37Th Ave, San Mateo, CA, 94041-1085
Phone Number
000-000-0000
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 37Th Ave
City
San Mateo
State
California
Zip
94403-4324
Phone Number
000-000-0000
Fax Number
person
Provider Business Mailing Address Details
Address
225 37Th Ave
City
San Mateo
State
California
Zip
94403-4324
Phone Number
000-000-0000
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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