Organization
HAVEN THERAPY & COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE SUSANN MEDINA LMFT (OWNER)
(951) 231-7299
Entity
Organization
Contact information
Practice address
7932 BAYONET CIR APT D, COLORADO SPRINGS, CO 80902-4693
(951) 231-7299
Mailing address
7932 BAYONET CIR APT D, COLORADO SPRINGS, CO 80902-4693
(951) 231-7299
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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