| Beth A. Medina, Ms, Lmhc, Pa | |
|
13241 Bartram Park Blvd Ste. 301 Jacksonville FL 32258-5212 | |
| (904) 268-1696 | |
| (844) 864-3674 |
| Full Name | Beth A. Medina, Ms, Lmhc, Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13241 Bartram Park Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Beth Ann Medina (OWNER) |
| Authorized Official Contact | 9042681696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth A. Medina, Ms, Lmhc, Pa 13241 Bartram Park Blvd Ste. 301 Jacksonville FL 32258-5212 Ph: (904) 268-1696 | Beth A. Medina, Ms, Lmhc, Pa 13241 Bartram Park Blvd Ste. 301 Jacksonville FL 32258-5212 Ph: (904) 268-1696 |
| NPI Number | 1033520481 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033520481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6748 (Florida) | Primary |
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