Individual
MRS. LILLIAN MEDINA-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
1510 WATERS PL, BRONX, NY 10461-2700
(347) 493-8539
(718) 918-9461
Mailing address
1510 WATERS PL, BRONX, NY 10461-2700
(347) 493-8539
(718) 918-9461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18371
NY
Other
Enumeration date
07/09/2010
Last updated
07/13/2010
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