Medina, Antonio C

Medina, Antonio C is an sole proprietor health care provider with primary practice located at 5900 S Lake Forest Dr Suite 300, Mckinney TX 75070-2193. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Medina, Antonio C can be contacted via phone (469) 708-7151.

Contact Information

Primary practice address
5900 S Lake Forest Dr Suite 300 Mckinney TX 75070-2193
Phone: (469) 708-7151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 104550 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 49505 California

Profile Details

NPI number 1205009768
LBN Legal business name Medina, Antonio C
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Nov 30th, 2016 - about 8 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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