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Jessica Medina
Addiction (Substance Use Disorder) Counselor in Ontario, California
NPI 1952911570

Jessica Medina is an Addiction (Substance Use Disorder) Counselor based in Canoga Park, CA and is specialized in Addiction (Substance Use Disorder). Jessica Medina practices in Ontario, CA. The NPI Number for Jessica Medina is 1952911570 and holds a License No. (California).

The current practice location address for Jessica Medina is 125 W F St, Ontario, CA and can be reached out via phone at 909-986-4550.

Location: 125 W F St, Ontario, CA, 91303-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952911570
Provider Name
Jessica Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 W F St, Ontario, CA, 91303-1531
Phone Number
909-986-4550
Fax Number
Provider Enumeration Date
08/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 W F St
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
Fax Number
person
Provider Business Mailing Address Details
Address
125 W F St
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
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...
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