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Lisa M Medina, RH0010460323
Addiction (Substance Use Disorder) Counselor in Woodland, California
NPI 1831688472

Lisa M Medina is an Addiction (Substance Use Disorder) Counselor based in Woodland, CA and is specialized in Addiction (Substance Use Disorder). Lisa M Medina practices in Woodland, CA and has the professional credentials of RH0010460323. The NPI Number for Lisa M Medina is 1831688472 and holds a License No. R1298150318 (California).

The current practice location address for Lisa M Medina is 215 W Beamer St, Woodland, CA and can be reached out via phone at 530-405-2815 and via fax at 530-204-5255.

Location: 215 W Beamer St, Woodland, CA, 95695-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831688472
Provider Name
Lisa M Medina
Credential
RH0010460323
Provider Entity Type
Individual
Gender
Female
Address
215 W Beamer St, Woodland, CA, 95695-2510
Phone Number
530-405-2815
Fax Number
530-204-5255
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 W Beamer St
City
Woodland
State
California
Zip
95695-2510
Phone Number
530-405-2815
Fax Number
530-204-5255
person
Provider Business Mailing Address Details
Address
215 W Beamer St
City
Woodland
State
California
Zip
95695-2510
Phone Number
530-405-2815
Fax Number
530-204-5255
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R1298150318 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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