person
Ellen Rose Medina
Mental Health Counselor in Chula Vista, California
NPI 1356413926

Ellen Rose Medina is a Mental Health Counselor based in Chula Vista, CA and is specialized in Mental Health. Ellen Rose Medina practices in Chula Vista, CA. The NPI Number for Ellen Rose Medina is 1356413926 and holds a License No. (California).

The current practice location address for Ellen Rose Medina is 1105 Broadway Ste 206, Chula Vista, CA and can be reached out via phone at 619-426-4872.

Location: 1105 Broadway Ste 206, Chula Vista, CA, 91911-2767
person
Provider Profile Details
NPI Number
1356413926
Provider Name
Ellen Rose Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
1105 Broadway Ste 206, Chula Vista, CA, 91911-2767
Phone Number
619-426-4872
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1105 Broadway Ste 206
City
State
Zip
91911-2767
Phone Number
619-426-4872
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Broadway Ste 206
City
State
Zip
91911-2767
Phone Number
619-426-4872
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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