person
Jessica Sue Medina, LPCC
Professional Counselor in Lamar, Colorado
NPI 1649039819

Jessica Sue Medina is a Professional Counselor based in Alamosa, CO and is specialized in Professional. Jessica Sue Medina practices in Lamar, CO and has the professional credentials of LPCC. The NPI Number for Jessica Sue Medina is 1649039819 and holds a License No. 21791 (Colorado).

The current practice location address for Jessica Sue Medina is 100 Kendall Dr, Lamar, CO and can be reached out via phone at 719-384-5446 and via fax at 719-336-7453.

Location: 100 Kendall Dr, Lamar, CO, 81101-2290
person
Provider Profile Details
NPI Number
1649039819
Provider Name
Jessica Sue Medina
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
100 Kendall Dr, Lamar, CO, 81101-2290
Phone Number
719-384-5446
Fax Number
719-336-7453
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
100 Kendall Dr
City
State
Zip
81052-3901
Phone Number
719-384-5446
Fax Number
719-336-7453
person
Provider Business Mailing Address Details
Address
100 Kendall Dr
City
State
Zip
81052-3901
Phone Number
719-384-5446
Fax Number
719-336-7453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
21791 (Colorado)
Definition
Definition to come...
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