Individual
MS. ANGELA CECILIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
2607 KENTON HOLLOW LN, HOUSTON, TX 77089-1534
(832) 606-9506
Mailing address
2607 KENTON HOLLOW LN, HOUSTON, TX 77089-1534
(832) 606-9506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
65911
TX
101YP2500X
Professional Counselor
65911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245556885
NPI DUNN
TX
01
—
1609848332
NPI NAVIGATION
TX
01
—
261QF0400X
FQHC TAXONOMY
TX
Enumeration date
01/24/2013
Last updated
05/12/2022
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