# MR. AARON C MEDINA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154695955
- **Gender:** Man
- **Credential:** LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 0701005174 | VA | — |
| 101YP2500X | Professional Counselor | 2064 | WV | Yes |

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 01/08/2013
