Individual
CELESTE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 CORPORATE CENTER DR STE 202, POMONA, CA 91768-2628
(909) 766-7060
Mailing address
3353 WHITE CLOUD DR, HACIENDA HEIGHTS, CA 91745-6316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2019
Last updated
05/07/2021
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