John Michael Medina Jr.
John Michael Medina Jr. is an Addiction (Substance Use Disorder) Counselor in San Mateo, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2251 Palm AveSan Mateo, CA 94403-1814
Phone: (650) 513-6500
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 18877 (CA) |
|---|
Record details
| NPI number | 1043910730 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | February 21, 2025 |
| Certification date | February 21, 2025 |
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Jaqueline Mathiesen, SUDCOUNSELOR
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Milikini Mel Milikini
2251 Palm Ave, San Mateo, CA 94403-1814 · (650) 513-6500
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Niki Nakamura, SUDRCI
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