Individual
CHRISTIAN OMAR MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA PRE
Contact information
Practice address
2202 PRAME AVE, CLEVELAND, OH 44109-1626
(216) 459-1222
(216) 459-2696
Mailing address
3305 W 25TH ST, CLEVELAND, OH 44109-1613
(216) 459-1222
(216) 459-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178991
OH
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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