Individual
KADISHA L MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
937 FULTON ST, BROOKLYN, NY 11238-2347
(718) 789-1212
(718) 789-1759
Mailing address
937 FULTON ST, BROOKLYN, NY 11238-2347
(718) 789-1212
(718) 789-1759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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