Chanill Medina
NPI #1104414895 in Jersey City, New Jersey
Provider Information
- NPI Number
- 1104414895
- Entity Type
- Individual
- Name
- Chanill Medina
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 355 GRAND ST
- City
- Jersey City
- State
- New Jersey
- ZIP Code
- 07302-4321
- Phone
- (201) 915-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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