Individual
CHANILL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 US HIGHWAY 202 N STE 4143, BRANCHBURG, NJ 08876-3757
(201) 357-9885
Mailing address
971 US HIGHWAY 202 N STE 4143, BRANCHBURG, NJ 08876-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NJ
101YM0800X
Mental Health Counselor
—
NY
106H00000X
Marriage & Family Therapist
Primary
37FI00255300
NJ
Other
Enumeration date
01/07/2021
Last updated
04/29/2026
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