person
Alicia Medina
Mental Health Counselor in Tyler, Texas
NPI 1285994285

Alicia Medina is a Mental Health Counselor based in Tyler, TX and is specialized in Mental Health. Alicia Medina practices in Tyler, TX. The NPI Number for Alicia Medina is 1285994285 and holds a License No. 66883 (Texas).

The current practice location address for Alicia Medina is 2323 W Front St, Tyler, TX and can be reached out via phone at 903-597-1351 and via fax at 903-535-7386. You can also correspond with Alicia Medina through the mailing address at 2323 W FRONT ST, TYLER, TX - 75702-7704 (mailing address contact number: 903-597-1351).

Location: 2323 W Front St, Tyler, TX, 75702-7704
person
Provider Profile Details
NPI Number
1285994285
Provider Name
Alicia Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
2323 W Front St, Tyler, TX, 75702-7704
Phone Number
903-597-1351
Fax Number
903-535-7386
Provider Enumeration Date
05/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66883 01 TX LPC
institution
Provider Business Practice Location Address Details
Address
2323 W Front St
City
State
Zip
75702-7704
Phone Number
903-597-1351
Fax Number
903-535-7386
person
Provider Business Mailing Address Details
Address
2323 W Front St
City
State
Zip
75702-7704
Phone Number
903-597-1351
Fax Number
903-535-7386
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
66883 (Texas)
Definition
Definition to come...
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