Individual
ALIX NICOLE MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(916) 609-5100
(916) 609-5160
Mailing address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(916) 609-5100
(916) 609-5160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
104100000X
Social Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CA
Enumeration date
07/12/2016
Last updated
07/21/2022
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