Maria Maura Medina, LPC, LMFT, LCDC
Marriage & Family Therapist in Harker Heights, TX. Individual provider (NPI-1).
NPI number1114101755
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1114101755
- Entity type
- Individual (NPI-1)
- Name
- Maria Maura Medina
- Credential
- LPC, LMFT, LCDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2007
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 201013 | TX | Yes |
| 101Y00000X | Counselor | 61677 | TX | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 10029 | TX |
Practice location
326 Morgan St Ste DHarker Heights, TX 76548-3078
Phone 254-724-2585
Mailing address
Po Box 844658Dallas, TX 75284-4658
Other practice locations
326 Morgan St Ste D
Harker Heights, TX 76548-3078
Harker Heights, TX 76548-3078
Phone 254-724-2585 · Fax 254-953-7603
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