Individual
ANGIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 ELMIRA ST, AURORA, CO 80010-2122
(303) 617-2300
Mailing address
13326 E ARKANSAS AVE, AURORA, CO 80012-4323
(224) 619-7753
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0013863
CO
101YP2500X
Professional Counselor
178.011801
IL
Other
Enumeration date
11/24/2015
Last updated
10/15/2019
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