Individual
LISA MEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 SILVER LAKE RD NW STE 2, NEW BRIGHTON, MN 55112-9308
(508) 955-3790
Mailing address
1403 SILVER LAKE RD NW STE 2, NEW BRIGHTON, MN 55112-9308
(508) 955-3790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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