Individual provider · Type 1 NPI

Bernadine Joann Medina

Addiction (Substance Use Disorder) Counselor · Las Vegas, NM

NPI number 1255595302 Active

Practice location

3001 Hotsprings Blvd
Las Vegas, NM 87701-2737

Call (505) 425-6786 Map

Fax (505) 425-6787

Mailing address

PO Box 2737
Las Vegas, NM 87701-2737

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0107321 (NM)

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

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About NPI 1255595302

Bernadine Joann Medina's National Provider Identifier is 1255595302, issued on Jul 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NM. The record was last updated on Jul 17, 2008.