Individual
BEATE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36000 DARNALL LOOP, CRDAMC - WCSRP, FT. HOOD, TX 76544
(254) 288-4747
Mailing address
1808 TALL CHIEF, LEANDER, TX 78641-8699
(254) 247-7595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64000
TX
Other
Enumeration date
01/28/2010
Last updated
06/19/2014
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