person
Lisa C. Medina, LCDC
Addiction (Substance Use Disorder) Counselor in Austin, Texas
NPI 1023318813

Lisa C. Medina is an Addiction (Substance Use Disorder) Counselor based in Austin, TX and is specialized in Addiction (Substance Use Disorder). Lisa C. Medina practices in Austin, TX and has the professional credentials of LCDC. The NPI Number for Lisa C. Medina is 1023318813 and holds a License No. 11182 (Texas).

The current practice location address for Lisa C. Medina is 5808 Balcones Dr, Austin, TX and can be reached out via phone at 512-804-3650 and via fax at 512-476-0217.

Location: 5808 Balcones Dr, Austin, TX, 78748-3066
person
Provider Profile Details
NPI Number
1023318813
Provider Name
Lisa C. Medina
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
5808 Balcones Dr, Austin, TX, 78748-3066
Phone Number
512-804-3650
Fax Number
512-476-0217
Provider Enumeration Date
10/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5808 Balcones Dr
City
State
Zip
78731-4255
Phone Number
512-804-3650
Fax Number
512-476-0217
person
Provider Business Mailing Address Details
Address
5808 Balcones Dr
City
State
Zip
78731-4255
Phone Number
512-804-3650
Fax Number
512-476-0217
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11182 (Texas)
Definition
Definition to come...
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