LISA M MEDINA RH0010460323
NPI 1831688472
Counselor - Addiction (Substance Use Disorder) in Woodland, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since May 09, 2018

215 W BEAMER ST, WOODLAND, CA 95695(530) 405-2815(530) 204-5255 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2023, Mar 28, 2023, Mar 15, 2021 and 2 more (5 updates tracked since 2018).

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About Lisa M Medina Rh0010460323 NPPES

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

LISA M MEDINA RH0010460323 (NPI 1831688472) is an individual addiction (substance use disorder) provider in Woodland, California, licensed in California (A063381123) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1831688472

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameLISA M MEDINACredential: RH0010460323

Location Address215 W BEAMER STWoodland, CA 95695-2510

Mailing Address215 W Beamer StWoodland, CA 95695-2510 · (530) 405-2815 · Fax (530) 204-5255

Phone(530) 405-2815

Fax(530) 204-5255

Sole ProprietorYes

Enumeration DateMay 9, 2018

Last NPPES UpdateNovember 3, 20235 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1831688472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in CA · A063381123✔ Licensed in CA · R1298150318

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

215 W BEAMER ST, Woodland, CA 95695

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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.

MR. JEFFREY J CALDWELL

Social Worker