Amanda Medina
Marriage & Family Therapist in Oakland, CA. Individual provider (NPI-1).
NPI number1861979403
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1861979403
- Entity type
- Individual (NPI-1)
- Name
- Amanda Medina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2018
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 138760 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1266 14th StOakland, CA 94607-2205
Phone 510-273-4700
Mailing address
1266 14th StOakland, CA 94607-2205
Phone 510-273-4700
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All 1,666 Marriage & Family Therapist providers in Oakland · All 20,942 providers in Oakland
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