Desiree Medina I

NPI #1063898708 in San Leandro, California

Provider Information

NPI Number: 1063898708
Entity Type: Individual
Name: Desiree Medina I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 5, 2015
Last Updated: Mar 22, 2024

Practice Location

Address: 2275 ARLINGTON DR
City: San Leandro
State: California
ZIP Code: 94578-1132
Phone: (510) 317-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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