Individual
CARLOS ALBERTO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 CATHARINE ST, WORCESTER, MA 01605-2709
(508) 416-9548
(508) 628-6972
Mailing address
21 CATHARINE ST, WORCESTER, MA 01605-2709
(508) 416-9548
(508) 628-6972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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