Individual
ANGELICA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607-2205
(510) 273-4700
Mailing address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
79838
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/17/2018
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