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Portia Nicole Medina
Counselor in Los Angeles, California
NPI 1326595265

Portia Nicole Medina is a Counselor based in Los Angeles, CA. Portia Nicole Medina practices in Los Angeles, CA. The NPI Number for Portia Nicole Medina is 1326595265 and holds a License No. (California).

The current practice location address for Portia Nicole Medina is 600 St Paul Ave Ste 200, Los Angeles, CA and can be reached out via phone at 213-482-6400 and via fax at 213-480-6408.

Location: 600 St Paul Ave Ste 200, Los Angeles, CA, 90017-5686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326595265
Provider Name
Portia Nicole Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 St Paul Ave Ste 200, Los Angeles, CA, 90017-5686
Phone Number
213-482-6400
Fax Number
213-480-6408
Provider Enumeration Date
09/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 St Paul Ave Ste 200
City
Los Angeles
State
California
Zip
90017-5686
Phone Number
213-482-6400
Fax Number
213-480-6408
person
Provider Business Mailing Address Details
Address
600 St Paul Ave Ste 200
City
Los Angeles
State
California
Zip
90017-5686
Phone Number
213-482-6400
Fax Number
213-480-6408
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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