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Organization

WAYWARD TO WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA ANNA MEDINA MS, LCADC (OWNER/THERAPIST)
(856) 816-5359
Entity
Organization

Contact information

Practice address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(856) 816-5359
Mailing address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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