Individual
ALLYSON M MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
122 SHADYWOOD LN, SAN ANTONIO, TX 78216-7334
(713) 562-8644
Mailing address
122 SHADYWOOD LN, SAN ANTONIO, TX 78216-7334
(713) 562-8644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68208
TX
106H00000X
Marriage & Family Therapist
201948
TX
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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