person
Luis Medina, SUDPT
Addiction (Substance Use Disorder) Counselor in Tacoma, Washington
NPI 1326748088

Luis Medina is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Luis Medina practices in Tacoma, WA and has the professional credentials of SUDPT. The NPI Number for Luis Medina is 1326748088 and holds a License No. 61033705 (Washington).

The current practice location address for Luis Medina is 2156 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-200-0505.

Location: 2156 Pacific Ave, Tacoma, WA, 98402-3004
person
Provider Profile Details
NPI Number
1326748088
Provider Name
Luis Medina
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
2156 Pacific Ave, Tacoma, WA, 98402-3004
Phone Number
253-200-0505
Fax Number
Provider Enumeration Date
03/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2156 Pacific Ave
City
State
Zip
98402-3004
Phone Number
253-200-0505
Fax Number
person
Provider Business Mailing Address Details
Address
2156 Pacific Ave
City
State
Zip
98402-3004
Phone Number
253-200-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
61033705 (Washington)
Definition
Definition to come...
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