Individual
MRS. GAIL E ORLANDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
206 FLATBUSH AVE, BROOKLYN, NY 11217-2116
(718) 398-0800
Mailing address
206 FLATBUSH AVE, BROOKLYN, NY 11217-2116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23937
NY
101YM0800X
Mental Health Counselor
004943
NY
Other
Enumeration date
01/14/2008
Last updated
10/19/2012
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