Jaquiline Medina, MA

NPI #1992534523 in Caldwell, Idaho

Provider Information

NPI Number: 1992534523
Entity Type: Individual
Name: Jaquiline Medina, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA
Enumeration Date: Jul 31, 2024
Last Updated: Jul 31, 2024

Practice Location

Address: 1617 CLEVELAND BLVD
City: Caldwell
State: Idaho
ZIP Code: 83605-5029
Phone: (425) 582-2041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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