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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