Individual
VANNESSA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4465 NORTHPARK DR # 485, COLORADO SPRINGS, CO 80907-4225
(719) 698-9922
Mailing address
4465 NORTHPARK DR # 485, COLORADO SPRINGS, CO 80907-4225
(719) 698-9922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0111179
CO
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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