Individual
ANDREW MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
(719) 471-2250
Mailing address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
(719) 471-2258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0018921
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/07/2017
Last updated
08/15/2025
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