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Mayrendy Fabiola Severino Medina
Mental Health Counselor in San Mateo, California
NPI 1518413079

Mayrendy Fabiola Severino Medina is a Mental Health Counselor based in San Bruno, CA and is specialized in Mental Health. Mayrendy Fabiola Severino Medina practices in San Mateo, CA. The NPI Number for Mayrendy Fabiola Severino Medina is 1518413079 and holds a License No. (California).

The current practice location address for Mayrendy Fabiola Severino Medina is 225 37Th Ave, San Mateo, CA and can be reached out via phone at 650-508-6745.

Location: 225 37Th Ave, San Mateo, CA, 94066-4132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518413079
Provider Name
Mayrendy Fabiola Severino Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 37Th Ave, San Mateo, CA, 94066-4132
Phone Number
650-508-6745
Fax Number
Provider Enumeration Date
08/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 37Th Ave
City
San Mateo
State
California
Zip
94403-4324
Phone Number
650-508-6745
Fax Number
person
Provider Business Mailing Address Details
Address
225 37Th Ave
City
San Mateo
State
California
Zip
94403-4324
Phone Number
650-508-6745
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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