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Individual
IRIS MEDINA
Active
Individual
IRIS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.041315
IL
101YM0800X
Mental Health Counselor
Primary
150.110695
IL
104100000X
Social Worker
149.041315
IL
104100000X
Social Worker
150.110695
IL
Other
Enumeration date
09/11/2023
Last updated
07/27/2026
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