Individual
MRS. CHELSEA Y MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 225-5135
Mailing address
1702 W AVENUE C, ELK CITY, OK 73644-3230
(580) 225-5136
(580) 225-5138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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