Medina, Tanisha
Medina, Tanisha is an sole proprietor health care provider with primary practice located at 6922 22Nd St W Ste C , University Place WA 98466-7600. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Medina, Tanisha can be contacted via phone (253) 414-6491.Contact Information
Primary practice address
6922 22Nd St W Ste C
University Place WA 98466-7600
Phone: (253) 414-6491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC60520063 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60784954 | Washington |
Profile Details
| NPI number | 1548631500 |
|---|---|
| LBN Legal business name | Medina, Tanisha |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2015 |
| Last updated | Jan 30th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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