Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAQUILINE MEDINA, MA
ActiveJAQUILINE MEDINA, MA is a Mental Health Counselor healthcare provider located in CALDWELL, Idaho. NPI 1992534523 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CALDWELL, ID
Registration Details
- NPI Number
- 1992534523
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2024 (1.9948473421156 yrs)
- Last Updated
- Jul 31, 2024
- License
-
COUI9732 (ID)
Practice Information
- Address
-
1617 CLEVELAND BLVDCALDWELL, ID, 836055029Browse ID providers · Browse ZIP 83605
- Phone
- 4255822041
- Fax
- 4255270468
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CALDWELL, ID
| Name | Credential | NPI |
|---|---|---|
| MS. LYNDELL JACKSON | LCPC | 1073654034 |
| MR. DALLAS WAYNE PAYTON | M.A., LCPC | 1518161827 |
| MR. MICHAEL F BOWERS | M.A., LPC | 1942488176 |
| SHERYL S BOYD | — | 1568635654 |
| MS. DEANN R CHRISTIAN | LPC, NCC | 1972763126 |
| MARY LU OWENS | LMSW | 1255764114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.