Individual
MS. VICKIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW
Contact information
Practice address
720 SANTA BARBARA ST, SANTA BARBARA, CA 93101-2232
(805) 967-3486
Mailing address
720 SANTA BARBARA ST, SANTA BARBARA, CA 93101-2232
(805) 967-3486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
125772
CA
1041S0200X
School Social Worker
Primary
—
CA
Other
Enumeration date
09/09/2016
Last updated
03/06/2025
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