Individual
CHERI CAROL ANN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R1462930322
Contact information
Practice address
406 SUNRISE AVE STE 100, ROSEVILLE, CA 95661-4106
(916) 872-1579
Mailing address
406 SUNRISE AVE STE 100, ROSEVILLE, CA 95661-4106
(916) 872-1579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1462930322
CA
Other
Enumeration date
03/23/2022
Last updated
09/10/2024
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