Organization
AARON MEDINA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON C MEDINA MA, LPC, ALPS (OWNER/THERAPIST)
(304) 842-3404
Entity
Organization
Contact information
Practice address
113 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 842-3404
Mailing address
314 GOOSEMAN RD, JANE LEW, WV 26378-6994
(304) 841-7388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2064
WV
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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