Medina, Adolfo Jorge

Medina, Adolfo Jorge is an sole proprietor health care provider with primary practice located at 5978 Greenwood Cmn , Livermore CA 94550-4798. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Medina, Adolfo Jorge can be contacted via phone (925) 518-9168.

Contact Information

Primary practice address
5978 Greenwood Cmn Livermore CA 94550-4798
Phone: (925) 518-9168
Fax: (925) 373-6654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC35047 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC35047 California
Behavioral Health & Social Service Providers / School 101YS0200X MFC35047 California

Profile Details

NPI number 1033123849
LBN Legal business name Medina, Adolfo Jorge
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Aug 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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