Individual
GABRIELLE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
925 S BROADWAY STE 211, CORTEZ, CO 81321-4033
(970) 516-7049
Mailing address
417 S CEDAR ST APT 31, CORTEZ, CO 81321-3463
(970) 821-6468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0022446
CO
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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