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Individual

CATHERINE ELIZABETH MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6603 IRONGATE SQ, NORTH CHESTERFIELD, VA 23234-6081
(804) 743-0960
(804) 396-2195
Mailing address
6603 IRONGATE SQ, NORTH CHESTERFIELD, VA 23234-6081
(804) 743-0960
(804) 396-2195

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006853
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945018
VA
Enumeration date
10/01/2007
Last updated
02/18/2026
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