Individual
CHERYL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 N MAIN ST STE 13, EAST LONGMEADOW, MA 01028-1837
(413) 525-1711
Mailing address
439 OLDFIELD RD, CHICOPEE, MA 01013-1439
(413) 557-9462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10916
MA
Other
Enumeration date
06/18/2013
Last updated
05/24/2023
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