Individual
XIOMARA V MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
7918 ALLARD CT APT 103, GLEN BURNIE, MD 21061-6822
(347) 772-5020
Mailing address
7918 ALLARD CT APT 103, GLEN BURNIE, MD 21061-6822
(347) 772-5020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP8253
MD
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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