Individual
ANGELA NIVON MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1130 S BURR ST STE 200, MITCHELL, SD 57301-4586
(605) 292-0361
Mailing address
2000 SHANARD RD, MITCHELL, SD 57301-2186
(210) 850-8486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21089
SD
Other
Enumeration date
06/30/2025
Last updated
07/22/2025
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