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Individual
MELISSA MEDINA
Active
Individual
MELISSA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW67931
CA
1041C0700X
Clinical Social Worker
12946-C
NV
1041C0700X
Clinical Social Worker
34011168A
IN
1041C0700X
Clinical Social Worker
I.2405368
OH
1041C0700X
Clinical Social Worker
Primary
LCSW86730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467826222
—
CA
Enumeration date
11/17/2015
Last updated
07/28/2026
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