Individual
CHERINA JEAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 3, CANON CITY, CO 81215-0003
(510) 384-3985
Mailing address
PO BOX 3, CANON CITY, CO 81215-0003
(510) 384-3985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09932330
CO
1041C0700X
Clinical Social Worker
Primary
LCSW116770
CA
1041S0200X
School Social Worker
ASW75307
CA
Other
Enumeration date
02/28/2018
Last updated
03/10/2026
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