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Kailani Medina, APCC

Counselor, Professional in Newport Beach, CA. Individual provider (NPI-1).

NPI number1346853512
StatusActive
Last updated in NPPESAug 27, 2020

Details

NPI
1346853512
Entity type
Individual (NPI-1)
Name
Ms. Kailani Medina
Credential
APCC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2020
Certification date
Aug 24, 2020
Last updated
Aug 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional7066CAYes

Practice location

20101 Sw Birch St Ste 240
Newport Beach, CA 92660-1769

Phone 619-384-0860

Mailing address

20101 Sw Birch St Ste 240
Newport Beach, CA 92660-1769

Phone 619-384-0860

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