Mark Stanley Medina
NPI #1972025906 in Easthampton, Massachusetts
Provider Information
- NPI Number
- 1972025906
- Entity Type
- Individual
- Name
- Mark Stanley Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jul 11, 2017
Practice Location
- Address
- 179 NORTHAMPTON ST
- City
- Easthampton
- State
- Massachusetts
- ZIP Code
- 01027-1057
- Phone
- (413) 588-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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