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Individual
YESENIA MEDINA
Active
Individual
YESENIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW #96330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96330
CA
104100000X
Social Worker
96330
CA
1041C0700X
Clinical Social Worker
96330
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2019
Last updated
06/30/2023
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