Medina, Vickie

Medina, Vickie is an individual health care provider with primary practice located at 212 I St , Davis CA 95616. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Medina, Vickie can be contacted via phone (707) 536-5801.

Contact Information

Primary practice address
212 I St Davis CA 95616
Phone: (707) 536-5801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X California
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1932656675
LBN Legal business name Medina, Vickie
Credentials BSW, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Aug 20th, 2018 - about 6 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.

Request for update

Popular Providers