person
Donna Elizabeth Medina, LADC
Addiction (Substance Use Disorder) Counselor in Niantic, Connecticut
NPI 1275007353

Donna Elizabeth Medina is an Addiction (Substance Use Disorder) Counselor based in Niantic, CT and is specialized in Addiction (Substance Use Disorder). Donna Elizabeth Medina practices in Niantic, CT and has the professional credentials of LADC. The NPI Number for Donna Elizabeth Medina is 1275007353 and holds a License No. 001224 (Connecticut).

The current practice location address for Donna Elizabeth Medina is 30 W Main St, Niantic, CT and can be reached out via phone at 860-691-0873.

Location: 30 W Main St, Niantic, CT, 06357-2340
person
Provider Profile Details
NPI Number
1275007353
Provider Name
Donna Elizabeth Medina
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
30 W Main St, Niantic, CT, 06357-2340
Phone Number
860-691-0873
Fax Number
Provider Enumeration Date
01/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 W Main St
City
State
Zip
06357-2340
Phone Number
860-691-0873
Fax Number
person
Provider Business Mailing Address Details
Address
30 W Main St
City
State
Zip
06357-2340
Phone Number
860-691-0873
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
001224 (Connecticut)
Definition
Definition to come...
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