Individual
ANA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LCSW
Contact information
Practice address
5111 TELEGRAPH AVE # 222, OAKLAND, CA 94609-1925
(510) 479-0786
Mailing address
5111 TELEGRAPH AVE # 222, OAKLAND, CA 94609-1925
(510) 479-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW116771
CA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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