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1780017129
LOURDES E. MEDINA
SACRAMENTO, CA
NPI
1780017129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 111326)
Enumeration Date
2013-08-20
Last Update Date
2022-09-20
Business Address
LOURDES E. MEDINA LMFT
8325 SUMMER SUNSET DR
SACRAMENTO, CA 95828-5362
Phone number: 209-915-9021
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Mailing Address
LOURDES E. MEDINA LMFT
PO BOX 580733
ELK GROVE, CA 95758-0013
Phone number: 209-915-9021
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