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Stephanie Medina
Professional Counselor in Modesto, California
NPI 1679044143

Stephanie Medina is a Professional Counselor based in Patterson, CA and is specialized in Professional. Stephanie Medina practices in Modesto, CA. The NPI Number for Stephanie Medina is 1679044143 and holds a License No. (California).

The current practice location address for Stephanie Medina is 1539 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-499-8407.

Location: 1539 Mchenry Ave, Modesto, CA, 95363-9300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679044143
Provider Name
Stephanie Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
1539 Mchenry Ave, Modesto, CA, 95363-9300
Phone Number
209-499-8407
Fax Number
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94-2378380 05 CA
942378380 05 CA
institution
Provider Business Practice Location Address Details
Address
1539 Mchenry Ave
City
Modesto
State
California
Zip
95350-4528
Phone Number
209-499-8407
Fax Number
person
Provider Business Mailing Address Details
Address
1539 Mchenry Ave
City
Modesto
State
California
Zip
95350-4528
Phone Number
209-499-8407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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