RICHARD KEVIN MEDFORD NPI 1700282480

NPI Information

NPI: 1700282480
Provider Name: RICHARD KEVIN MEDFORD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4892 SAN PABLO DAM RD
EL SOBRANTE, CA
ZIP 94803
Phone: (510) 222-3946
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Richard Kevin Medford is a mental health counselor in El Sobrante, CA. Richard Kevin Medford NPI is 1700282480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4892 SAN PABLO DAM RD
EL SOBRANTE, CA
ZIP 94803-222
Phone: (510) 222-3946

The enumeration date for this NPI number is 11/7/2014 and was last updated on 7/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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