Individual
MS. KAILANI MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
20101 SW BIRCH ST STE 240, NEWPORT BEACH, CA 92660-1769
(619) 384-0860
Mailing address
20101 SW BIRCH ST STE 240, NEWPORT BEACH, CA 92660-1769
(619) 384-0860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7066
CA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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