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Manuel Amado Medina
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1972208965

Manuel Amado Medina is an Addiction (Substance Use Disorder) Counselor based in Vacaville, CA and is specialized in Addiction (Substance Use Disorder). Manuel Amado Medina practices in Fairfield, CA. The NPI Number for Manuel Amado Medina is 1972208965 and holds a License No. (California).

The current practice location address for Manuel Amado Medina is 101 Bodin Cir, Fairfield, CA and can be reached out via phone at 707-423-5173.

Location: 101 Bodin Cir, Fairfield, CA, 95687-7631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972208965
Provider Name
Manuel Amado Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Fairfield, CA, 95687-7631
Phone Number
707-423-5173
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-5173
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-5173
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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