Individual
ALLISON MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78150 CALLE TAMPICO STE 214, LA QUINTA, CA 92253-2907
(425) 765-7337
Mailing address
45658 BIG CANYON ST, INDIO, CA 92201-0959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC20686
CA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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