Individual provider · Type 1 NPI

Alfred Medina, R1215080915

Addiction (Substance Use Disorder) Counselor · Bakersfield, CA

NPI number 1073977526 Active

Practice location

504 Bernard St
Bakersfield, CA 93305-3018

Call (661) 637-2187 Map

Fax (661) 326-1342

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1215080915 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073977526

Alfred Medina, R1215080915's National Provider Identifier is 1073977526, issued on Apr 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bakersfield, CA. The record was last updated on Apr 11, 2016.