Donna E Medina, LADC
Counselor, Addiction (Substance Use Disorder) in New London, Connecticut
1275007353- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-442-0711
- Fax
- —
- Last updated
- November 25, 2024
Donna Elizabeth Medina is a Counselor, Addiction (Substance Use Disorder) based in New London, CT. Donna Elizabeth Medina practices in New London, CT and has the professional credentials of LADC. The NPI Number for Donna Elizabeth Medina is 1275007353 and holds a License No. 001224 (CT). The current practice location address for Donna Elizabeth Medina is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.
Provider Profile Details
- NPI Number
- 1275007353
- Provider Name
- Donna Elizabeth Medina
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-442-0711
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 11, 2019
- Last Update Date
- November 25, 2024
- Certification Date
- November 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- CT
- Zip
- 06320-4700
- Phone Number
- 860-442-0711
License Information
- License Number
- 001224
- License State
- CT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near New London, CT
View all Counselor, Addiction (Substance Use Disorder) providers in New London →- Dr. Kathleen Ellis, PHD, LADC, LPCCounselor, Addiction (Substance Use Disorder) · NPI 1679902316
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- Latoya L PembertonCounselor, Addiction (Substance Use Disorder) · NPI 1952162042
- Lindsay L Helfrich, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1609695915
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Frequently Asked Questions
What is the NPI number of Donna E Medina, LADC?
The NPI number of Donna E Medina, LADC is 1275007353. It was assigned on January 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Donna E Medina, LADC?
Donna E Medina, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 001224.
Where does Donna E Medina, LADC practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275007353 directly on the NPPES registry website.