Medina, Jennifer Lynn

Medina, Jennifer Lynn is an individual health care provider with primary practice located at 1225 Crane St Ste 205, Menlo Park CA 94025-4257. She recently has 2 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 / Mental Health is her primary health care specialty. Medina, Jennifer Lynn can be contacted via phone (650) 319-7225.

Contact Information

Primary practice address
1225 Crane St Ste 205 Menlo Park CA 94025-4257
Phone: (650) 319-7225
Fax: (650) 618-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1035 California

Profile Details

NPI number 1760791537
LBN Legal business name Medina, Jennifer Lynn
Credentials M.A., P.C.C.I
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2010
Last updated Jun 14th, 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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