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LETICIA MEDINA
NPI 1568967693
Counselor - Addiction (Substance Use Disorder) in Taylorsville, UT

Active since March 29, 2018
3809 W 6200 S, TAYLORSVILLE, UT 84129(801) 963-4360(801) 963-4226 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leticia Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA MEDINA (NPI 1568967693) is an individual addiction (substance use disorder) provider in Taylorsville, Utah and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1568967693
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLETICIA MEDINA
Location Address3809 W 6200 STaylorsville, UT 84129-3725
Mailing Address4460 S Highland DrSalt Lake City, UT 84124-3543 · (801) 963-4360
Phone(801) 963-4360
Fax(801) 963-4226
Sole ProprietorNo
Enumeration DateMarch 29, 2018
✔ NPI 1568967693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3809 W 6200 S, Taylorsville, UT 84129
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

I'ESHA CATRINA BABER LCSW
Social Worker (Clinical)
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
ROGER WHITING
Community Health Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
NICOLENA GOMEZ
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
GREGORY ALLEN KULICKE
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
DERRIK WISE
Social Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
JAMIE LARSEN
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
HONG NGOC PHAM
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (801) 963-4360
MICHAEL GRIEGO
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Medina's NPI number?

The NPI number for Leticia Medina is 1568967693. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Leticia Medina located?

Leticia Medina practices at 3809 W 6200 S, Taylorsville, UT 84129. The listed phone number is (801) 963-4360.

What is Leticia Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Leticia Medina was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.