Individual
SERENA BREANN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
RBT-18-63434
CA
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
06/05/2025
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