Joe Medina is a Peer Specialist based in Albuquerque, NM. Joe Medina practices in Albuquerque, NM. The NPI Number for Joe Medina is 1164274700 and holds a License No. 1433 (New Mexico).
The current practice location address for Joe Medina is 203 California St Ne, Albuquerque, NM and can be reached out via phone at 505-308-8296.
Location: 203 California St Ne, Albuquerque, NM, 87108-1802
Provider Profile Details
NPI Number
1164274700
Provider Name
Joe Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
203 California St Ne, Albuquerque, NM, 87108-1802
Phone Number
505-308-8296
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
203 California St Ne
City
State
Zip
87108-1802
Phone Number
505-308-8296
Fax Number
Provider Business Mailing Address Details
Address
203 California St Ne
City
State
Zip
87108-1802
Phone Number
505-308-8296
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
1433 (New Mexico)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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