| Doctor Name: | MARIA MAURA MEDINA |
| NPI Number: | 1114101755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT, LCDC |
| License Number: | 61677 |
| Business Practice Address: | 36000 Darnall Loop Fort Hood, TX - 765445095 |
| Business Phone Number: | 2542879703 |
| Business Fax Number: | |
| Mailing Address: | 2242 58th Street Darnall Loop, FORT HOOD |
| State: | TX |
| Postal Code: | 765444752 |
| Phone Number: | 2542879703 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 06/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 61677 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |