Medina, Jeannette

Medina, Jeannette is an individual health care provider with primary practice located at 8 Morgan Blvd , Valparaiso IN 46383-4836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Medina, Jeannette can be contacted via phone (219) 525-1737.

Contact Information

Primary practice address
8 Morgan Blvd Valparaiso IN 46383-4836
Phone: (219) 525-1737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-103379 Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88001587A Indiana

Profile Details

NPI number 1669015129
LBN Legal business name Medina, Jeannette
Credentials MA, LMHC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2019
Last updated Apr 19th, 2022 - about 4 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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