Chandra Medina, Marriage and Family Therapy INC
NPI #1467285478 in Lake Forest, California
Provider Information
- NPI Number
- 1467285478
- Entity Type
- Organization
- Organization Name
- Chandra Medina, Marriage and Family Therapy INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 22792 CENTRE DR STE 104
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-6311
- Phone
- (714) 326-3722
Authorized Official
- Name
- CHANDRA MEDINA, LMFT
- Title
- PRESIDENT/OWNER
- Phone
- (714) 326-3722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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