Terriann Lorraine Medina, CAPRC
Peer Specialist in Dillsboro, IN. Individual provider (NPI-1).
NPI number1033080353
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1033080353
- Entity type
- Individual (NPI-1)
- Name
- Terriann Lorraine Medina
- Credential
- CAPRC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2025
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CAPRC2-5662 | IN | Yes |
| 172V00000X | Community Health Worker | 190004897 | IN |
Practice location
13699 Us 50Dillsboro, IN 47018-9642
Phone 812-621-2481
Mailing address
13699 Us 50Dillsboro, IN 47018-9642
Phone 812-621-2481
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