Individual
MRS. LORI ELIZABETH MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17091 S. MUSKOGEE, TAHLEQUAH, OK 74465-4405
(918) 458-6986
(918) 458-0499
Mailing address
21141 S FORREST DR, TAHLEQUAH, OK 74464-7404
(918) 207-0810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3261
OK
Other
Enumeration date
10/09/2009
Last updated
05/03/2026
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