Individual
CHARLENE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAARR
Contact information
Practice address
610 N CENTRAL AVE, SUITE 106, GLENDALE, CA 91203-1403
(818) 551-0026
(818) 551-0027
Mailing address
610 N CENTRAL AVE, SUITE 106, GLENDALE, CA 91203-1403
(818) 551-0026
(818) 551-0027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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