Individual
SAMANTHA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(856) 816-5359
Mailing address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
09/10/2025
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