Sergio Medina, LPC
Counselor, Professional in El Paso, TX. Individual provider (NPI-1).
NPI number1285642918
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285642918
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sergio Medina
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10517 | TX | Yes |
Practice location
5959 Gateway Blvd W Ste 501El Paso, TX 79925-3319
Phone 915-772-1829 · Fax 915-772-5133
Mailing address
5959 Gateway Blvd W Ste 501El Paso, TX 79925-3319
Phone 915-772-1829 · Fax 915-772-5133
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