Individual
ANA M. MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 S CONGRESS AVE, 104, PALM SPRINGS, FL 33406-7670
(561) 653-6292
Mailing address
2112 S CONGRESS AVE, 104, PALM SPRINGS, FL 33406-7670
(561) 653-6292
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1748
FL
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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