Individual provider · Type 1 NPI

Ernest Medina Jr., LPC

Professional Counselor · Temple, TX

NPI number 1639413537 Active

Practice location

3010 Scott Blvd, Suite 103
Temple, TX 76504-6800

Mailing address

2105 Tahoe Ct, A
Killeen, TX 76543-5494

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X67807 (TX)

Professional Counselor: Definition to come...

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About NPI 1639413537

Ernest Medina Jr., LPC's National Provider Identifier is 1639413537, issued on Nov 15, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Temple, TX. The record was last updated on Jun 19, 2013.