Individual
MEDINA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 RESERVOIR AVE, CRANSTON, RI 02910-4453
(401) 230-7841
(401) 632-4880
Mailing address
900 RESERVOIR AVE, CRANSTON, RI 02910-4453
(401) 230-7841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00211
RI
Other
Enumeration date
05/28/2009
Last updated
09/30/2019
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