Individual
ALEXIS ULISES MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 E VENTURA ST APT D, SANTA PAULA, CA 93060-2962
(805) 535-9384
Mailing address
1208 E VENTURA ST APT D, SANTA PAULA, CA 93060-2962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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