Individual
DESIREE MARMOLEJO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3110 BLUEFIELD ST, SAN ANTONIO, TX 78230-4907
(210) 834-1662
Mailing address
3110 BLUEFIELD ST, SAN ANTONIO, TX 78230-4907
(210) 834-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85629
TX
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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