Jonathan Jay Medina
Jonathan Jay Medina is a Clinical Social Worker in Anaheim, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
711 E Ball RdAnaheim, CA 92805-5930
Phone: (714) 254-8473
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 122283 (CA) |
|---|
Record details
| NPI number | 1285198788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 29, 2019 |
| Last updated in NPPES | November 20, 2024 |
| Certification date | November 20, 2024 |
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