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Diana Medrano
Mental Health Counselor in San Jose, California
NPI 1639458169

Diana Medrano is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Diana Medrano practices in San Jose, CA. The NPI Number for Diana Medrano is 1639458169 and holds a License No. (California).

The current practice location address for Diana Medrano is 2226 N 1St St, San Jose, CA and can be reached out via phone at 408-841-4109.

Location: 2226 N 1St St, San Jose, CA, 95131-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639458169
Provider Name
Diana Medrano
Credential
Provider Entity Type
Individual
Gender
Female
Address
2226 N 1St St, San Jose, CA, 95131-2007
Phone Number
408-841-4109
Fax Number
Provider Enumeration Date
08/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2226 N 1St St
City
San Jose
State
California
Zip
95131-2007
Phone Number
408-841-4109
Fax Number
person
Provider Business Mailing Address Details
Address
2226 N 1St St
City
San Jose
State
California
Zip
95131-2007
Phone Number
408-841-4109
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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