LYDIA MEDINA MILLER

FORT WORTH, TX
NPI1659422152
Former NameLYDIA MEDINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  58677)
Enumeration Date2007-01-13
Last Update Date2014-07-15
Business Address
-- LYDIA MEDINA MILLER LPC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4395
Mailing Address
-- LYDIA MEDINA MILLER LPC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4395