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

Chanill Medina

Individual provider Marriage & Family Therapist · NPI 1104414895

Chanill Medina is a Marriage & Family Therapist in Branchburg, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

971 US Highway 202 N Ste 4143
Branchburg, NJ 08876-3757
Phone: (201) 357-9885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 37FI00255300 (NJ)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 002774 (NY)

Record details

NPI number1104414895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address971 Us Highway 202 N Ste 4143, Branchburg, NJ 08876-3757

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