Individual
SASHA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
790 CLAY FIELD TRL, SUMMERVILLE, SC 29485-9296
(413) 433-7392
Mailing address
790 CLAY FIELD TRL, SUMMERVILLE, SC 29485-9296
(413) 433-7392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303295
MBHP
MA
01
—
8443
BMC
MA
01
—
997303
NETWORK HEALTH
MA
Enumeration date
01/13/2012
Last updated
10/30/2025
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