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Angela Medina
Counselor in Santa Ana, California
NPI 1447529672

Angela Medina is a Counselor based in Santa Ana, CA. Angela Medina practices in Santa Ana, CA. The NPI Number for Angela Medina is 1447529672 and holds a License No. (California).

The current practice location address for Angela Medina is 1207 E Fruit St, Santa Ana, CA and can be reached out via phone at 714-287-6572 and via fax at 714-953-0017.

Location: 1207 E Fruit St, Santa Ana, CA, 92701-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447529672
Provider Name
Angela Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
1207 E Fruit St, Santa Ana, CA, 92701-4206
Phone Number
714-287-6572
Fax Number
714-953-0017
Provider Enumeration Date
12/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225332802 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1207 E Fruit St
City
Santa Ana
State
California
Zip
92701-4206
Phone Number
714-287-6572
Fax Number
714-953-0017
person
Provider Business Mailing Address Details
Address
1207 E Fruit St
City
Santa Ana
State
California
Zip
92701-4206
Phone Number
714-287-6572
Fax Number
714-953-0017
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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