Leticia Medina

NPI #1568967693 in Taylorsville, Utah

Provider Information

NPI Number
1568967693
Entity Type
Individual
Name
Leticia Medina
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 29, 2018
Last Updated
Mar 29, 2018

Practice Location

Address
3809 W 6200 S
State
Utah
ZIP Code
84129-3725
Phone
(801) 963-4360

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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