Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chandra Medina, Marriage and Family Therapy Inc

Organization Mental Health Counselor · NPI 1467285478

Chandra Medina, Marriage and Family Therapy Inc is a Mental Health Counselor in Lake Forest, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22792 Centre Dr Ste 104
Lake Forest, CA 92630-6311
Phone: (714) 326-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1467285478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandra Medina — President/Owner · (714) 326-3722
Other names Thrive Recovery
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address22792 Centre Dr Ste 104, Lake Forest, CA 92630-6311

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