person
Carlos Medina V
Mental Health Counselor in Chicago, Illinois
NPI 1942077425

Carlos Medina V is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Carlos Medina V practices in Chicago, IL. The NPI Number for Carlos Medina V is 1942077425 and holds a License No. 178.018305 (Illinois).

The current practice location address for Carlos Medina V is 2650 W Montrose Ave Ste 102, Chicago, IL and can be reached out via phone at 872-228-9632.

Location: 2650 W Montrose Ave Ste 102, Chicago, IL, 60640-5381
person
Provider Profile Details
NPI Number
1942077425
Provider Name
Carlos Medina V
Credential
Provider Entity Type
Individual
Gender
Male
Address
2650 W Montrose Ave Ste 102, Chicago, IL, 60640-5381
Phone Number
872-228-9632
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2650 W Montrose Ave Ste 102
City
State
Zip
60618-1562
Phone Number
872-228-9632
Fax Number
person
Provider Business Mailing Address Details
Address
2650 W Montrose Ave Ste 102
City
State
Zip
60618-1562
Phone Number
872-228-9632
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.018305 (Illinois)
Definition
Definition to come...
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