Individual
MARIA MAURA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, LCDC
Contact information
Practice address
326 MORGAN ST STE D, HARKER HEIGHTS, TX 76548-3078
(254) 724-2585
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
61677
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
10029
TX
106H00000X
Marriage & Family Therapist
Primary
201013
TX
Other
Enumeration date
12/18/2007
Last updated
09/22/2020
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