Individual provider · Type 1 NPI
Melissa Isabel Medina, LPC
Professional Counselor · Alton, TX
NPI number
1770240004
Active
Practice location
1208 S San Antonio St
Alton, TX 78573-0585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 83264 (TX) |
Professional Counselor: Definition to come...
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About NPI 1770240004
Melissa Isabel Medina, LPC's National Provider Identifier is 1770240004, issued on Nov 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alton, TX. The record was last updated on Nov 22, 2021.