# AARON MEDINA COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154795359
- **Authorized official:** MR. AARON C MEDINA MA, LPC, ALPS (OWNER/THERAPIST)
- **Authorized official phone:** (304) 842-3404

## Contact information

- **Practice address:** 113 STATE ST, BRIDGEPORT, WV 26330-1375
- **Practice address phone:** (304) 842-3404
- **Mailing address:** 314 GOOSEMAN RD, JANE LEW, WV 26378-6994
- **Mailing address phone:** (304) 841-7388

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2015
- **Last updated:** 11/25/2015