Individual
ARLYN PATRICIA MEDINA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 KEMPER ST, SAN DIEGO, CA 92110-4906
(619) 523-8121
Mailing address
3340 KEMPER ST, SAN DIEGO, CA 92110-4906
(619) 523-8121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18329
CA
106S00000X
Behavior Technician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373781
—
CA
Enumeration date
01/03/2022
Last updated
10/22/2025
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