| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BLANCA G MEDINA | 1881316248 | 2022-09-29 |
Blanca G Medina is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881316248. Registration indicates Blanca G Medina is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Blanca G Medina |
| Practice Office Address | 620 N ASH ST ESCONDIDO, CA US |
| Practice Office Telephone | 7607417708 |
| Mailing Address | 1400 N JOHNSON AVE STE 101 EL CAJON, CA 920201651 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1400 N Johnson Ave Ste 101 | El Cajon, CA 920201651 | 6194420277 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |