Individual
ELVA M MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20931 W 123RD TER, OLATHE, KS 66061-6422
(785) 250-2809
Mailing address
20931 W 123RD TER, OLATHE, KS 66061-6422
(785) 250-2809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04981
KS
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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