Individual provider · Type 1 NPI

Micaela Tamara Medina

Mental Health Counselor · Albuquerque, NM

NPI number 1790648137 Active

Practice location

7323 Sidewinder Dr NE
Albuquerque, NM 87113-1300

Call (505) 350-7633 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCBT-2024-0831 (NM)

Mental Health Counselor: Definition to come...

2 other providers at this address

Other mental health counselor providers in Albuquerque

See all in Albuquerque →

About NPI 1790648137

Micaela Tamara Medina's National Provider Identifier is 1790648137, issued on Dec 3, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 3, 2025.