| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALYSSA DANEL MEDINA | 1437758075 | 2020-10-24 |
Alyssa Danel Medina is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437758075. Registration indicates Alyssa Danel Medina is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Alyssa Danel Medina |
| Practice Office Address | 2528 LAS BRISAS DR VIRGINIA BEACH, VA US |
| Practice Office Telephone | 7577974140 |
| Mailing Address | 2528 LAS BRISAS DR VIRGINIA BEACH, VA 234564264 US |
| Business Telephone | 7577974140 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 0701010018
VA |