Individual
MR. ADOLFO JORGE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5978 GREENWOOD CMN, LIVERMORE, CA 94550-4798
(925) 518-9168
(925) 373-6654
Mailing address
5978 GREENWOOD CMN, LIVERMORE, CA 94550-4798
(925) 373-6654
(925) 373-6654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC35047
CA
101YS0200X
School Counselor
MFC35047
CA
106H00000X
Marriage & Family Therapist
Primary
MFC35047
CA
Other
Enumeration date
07/28/2006
Last updated
08/20/2011
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