Individual provider · Type 1 NPI

Jessica Sue Medina, LPCC

Professional Counselor · Lamar, CO

NPI number 1649039819 Active

Practice location

100 Kendall Dr
Lamar, CO 81052-3901

Fax (719) 336-7453

Mailing address

128 Market St
Alamosa, CO 81101-2290

Other practice locations

  • 711 Barnes Ave, La Junta, CO 81050-2138 · (719) 384-5446

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X21791 (CO)

Professional Counselor: Definition to come...

13 other providers at this address

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About NPI 1649039819

Jessica Sue Medina, LPCC's National Provider Identifier is 1649039819, issued on Mar 18, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lamar, CO. The record was last updated on Mar 18, 2024.