CHANILL MEDINA

Counselor - Mental Health

Active Individual
NPI: 1104414895

Practice Address

355 GRAND ST
Jersey City, NJ 07302

Phone: (201) 915-2000

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1104414895 is the National Provider Identifier for CHANILL MEDINA, a Counselor - Mental Health provider located in Jersey City, NJ. This NPI was enumerated on January 7, 2021.
CHANILL MEDINA practices at 355 GRAND ST, Jersey City, NJ 07302.

Quick Facts

NPI
1104414895
Type
Individual
Enumerated
Jan 7, 2021
Last Updated
Jun 17, 2025

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