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Organization
BETH A. MEDINA, MS, LMHC, PA
Active
Organization
BETH A. MEDINA, MS, LMHC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN MEDINA LMHC (OWNER)
(904) 268-1696
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, STE. 301, JACKSONVILLE, FL 32258-5212
(904) 268-1696
(844) 864-3674
Mailing address
13241 BARTRAM PARK BLVD, STE. 301, JACKSONVILLE, FL 32258-5212
(904) 268-1696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6748
FL
Other
Enumeration date
05/19/2014
Last updated
04/16/2019
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