Individual provider · Type 1 NPI
Traci Medrano
Addiction (Substance Use Disorder) Counselor · Albuquerque, NM
NPI number
1124747944
Active
Practice location
4841 Tramway Ridge Dr NE
Albuquerque, NM 87111-2787
Fax (888) 636-1795
Mailing address
1821 Cortina Loop SE
Rio Rancho, NM 87124-8938
Other practice locations
- 2209 Miguel Chavez Rd Ste F, Santa Fe, NM 87505-7010 · (877) 499-1354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CSA0213231 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1124747944
Traci Medrano's National Provider Identifier is 1124747944, issued on Aug 24, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 30, 2022.