Amber Medina

NPI #1316519689 in Dixon, Illinois

Provider Information

NPI Number: 1316519689
Entity Type: Individual
Name: Amber Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 15, 2021
Last Updated: Jul 15, 2021

Practice Location

Address: 325 IL ROUTE 2
City: Dixon
State: Illinois
ZIP Code: 61021-9118
Phone: (815) 284-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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