Individual
MR. CAMILO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4000 W METROPOLITAN DR STE 401, ORANGE, CA 92868-3506
(855) 625-4651
Mailing address
4000 W METROPOLITAN DR STE 401, ORANGE, CA 92868-3506
(855) 625-4657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
CA
Other
Enumeration date
10/04/2006
Last updated
04/25/2023
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