Individual
BETH ANN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL 32258
(904) 268-1696
(844) 864-3674
Mailing address
13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL 32258-5236
(904) 268-1696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6748
FL
Other
Enumeration date
02/21/2007
Last updated
07/30/2018
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