Individual
MR. GILBERT MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SACIT
Contact information
Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052
Mailing address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10847130
WI
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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