Individual
MS. ALBA ALEJANDRA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT 113496
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-3954
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-3954
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
113496
CA
106H00000X
Marriage & Family Therapist
INTERN 71014
CA
Other
Enumeration date
05/06/2013
Last updated
02/24/2021
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