Nicole G. Medina
Nicole G. Medina is a Marriage and Family Therapist in Tustin, California. Qualified in 2018, 8 years ago. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Tustin, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 135401 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1801548250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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