ERIKA LISSETTE MEDRANO
NPI 1295430494
Counselor - Professional in Gaithersburg, MD
Active since April 05, 2023
About Erika Lissette Medrano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIKA LISSETTE MEDRANO (NPI 1295430494) is an individual professional provider in Gaithersburg, Maryland, licensed in Maryland (LGP13021) and active in the NPI registry since April 2023.
NPPES Registry Identity
NPI1295430494
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameERIKA LISSETTE MEDRANO
Location Address231 SPECTRUM AVE APT 212Gaithersburg, MD 20879-3490
Mailing Address231 Spectrum Ave Apt 212Gaithersburg, MD 20879-3490 · (240) 565-7831
Phone(240) 565-7831
Sole ProprietorYes
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1295430494 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LGP13021
231 SPECTRUM AVE APT 212, Gaithersburg, MD 20879
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295430494, enumerated as an "individual" on April 05, 2023.
The provider is located at 231 SPECTRUM AVE APT 212 GAITHERSBURG, MD 20879 and the phone number is (240) 565-7831.
Counselor with taxonomy code 101YP2500X and a focus in Professional.