Zaida Medina LPC

NPI 1497896120 - Counselor - 101YP2500X

NPI Details
NPI 1497896120
Gender Female
Enumeration Date 02/08/2007
Last Updated 09/21/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
89 CEDAR AVE
LAKE VILLA IL, 60046-8411, US
Phone (847) 265-7300
Fax (847) 265-7301
Business Location
PO BOX 764
LAKE VILLA IL, 60046-0764, US
Phone (847) 265-7300
Fax (847) 265-7301
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 178003554
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According to our database, Zaida Medina LPC NPI is 1497896120, taxonomy code is 101YP2500X and license number is 178003554, license state is located at Illinois. Zaida Medina LPC physically located at 89 Cedar Ave, Lake Villa IL, 60046-8411. NPI Number Zaida Medina LPC has the Individual type.

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1497896120 NPI number is provided on an as is basis without warranty of any kind. 1497896120 is maintained by the National Plan & Provider Enumeration System. The contents of Zaida Medina LPC are for informational purposes only.