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Individual
MR. ADOLFO JORGE MEDINA
Active
Individual
MR. ADOLFO JORGE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC35047
CA
101YS0200X
School Counselor
MFC35047
CA
106H00000X
Marriage & Family Therapist
Primary
MFC35047
CA
Other
Enumeration date
07/28/2006
Last updated
08/20/2011
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