Organization
MEDINA'S WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON NITA MEDINA LPC, PSYCHOTHERAPIST (EXECUTIVE DIRECTOR)
(414) 719-6633
Entity
Organization
Contact information
Practice address
6815 W CAPITOL AVE, #202, MILWAUKEE, WI 53216
(414) 751-8950
(414) 461-2005
Mailing address
6815 W CAPITOL AVE, #202, MILWAUKEE, WI 53216
(414) 751-8950
(414) 461-2005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1423-226
WI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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