Stacy Tatianna Medina, MA.ED, LPC, NCC
NPI #1245048545 in Toms River, New Jersey
Provider Information
- NPI Number
- 1245048545
- Entity Type
- Individual
- Name
- Stacy Tatianna Medina, MA.ED, LPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA.ED, LPC, NCC
- Enumeration Date
- Dec 19, 2024
- Last Updated
- Dec 31, 2024
Practice Location
- Address
- 2001 ROUTE 37 E
- City
- Toms River
- State
- New Jersey
- ZIP Code
- 08753-7168
- Phone
- (732) 288-9322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Counselor |
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