Individual provider · Type 1 NPI

Candelaria Medina, R1377450220

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1699308205 Active

Practice location

1414 W Kearney Blvd
Fresno, CA 93706-2702

Call (559) 485-0501 Map

Fax (559) 485-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17120 (CA)

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

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About NPI 1699308205

Candelaria Medina, R1377450220's National Provider Identifier is 1699308205, issued on Feb 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Sep 19, 2025.