Individual
VALERIE SUSANN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7932 BAYONET CIR APT D, COLORADO SPRINGS, CO 80902-4693
(951) 231-7299
Mailing address
7932 BAYONET CIR APT D, COLORADO SPRINGS, CO 80902-4693
(951) 231-7299
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
140511
CA
106H00000X
Marriage & Family Therapist
Primary
MFT.0002559
CO
Other
Enumeration date
06/03/2019
Last updated
06/02/2024
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