Individual
ALEX MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 CENTRAL ST APT A, SPRINGFIELD, MA 01105-2484
(413) 328-1559
Mailing address
49 CENTRAL ST APT A, SPRINGFIELD, MA 01105-2484
(413) 328-1559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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