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Erica Medina
Mental Health Counselor in Detroit, Michigan
NPI 1912513839

Erica Medina is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Erica Medina practices in Detroit, MI. The NPI Number for Erica Medina is 1912513839 and holds a License No. 64010108655 (Michigan).

The current practice location address for Erica Medina is 1700 Waterman St, Detroit, MI and can be reached out via phone at 313-841-8900.

Location: 1700 Waterman St, Detroit, MI, 48209-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912513839
Provider Name
Erica Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Waterman St, Detroit, MI, 48209-2022
Phone Number
313-841-8900
Fax Number
Provider Enumeration Date
09/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Waterman St
City
Detroit
State
Michigan
Zip
48209-2022
Phone Number
313-841-8900
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Waterman St
City
Detroit
State
Michigan
Zip
48209-2022
Phone Number
313-841-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
64010108655 (Michigan)
Definition
Definition to come...
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