Individual
NATHALIE A MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 K ST, CHENEY, WA 99004-1429
(509) 668-8867
Mailing address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61240951
WA
104100000X
Social Worker
Primary
SWIA.SC.61650357
WA
1041C0700X
Clinical Social Worker
SWIA.SC.61650357
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2021
Last updated
04/16/2026
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