Individual
MR. JEHU MEDINA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3409 S RURAL RD APT 130, TEMPE, AZ 85282-5427
(928) 254-8194
Mailing address
3409 S RURAL RD APT 130, TEMPE, AZ 85282-5427
(928) 254-8194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20693
AZ
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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