person
Bernadine Joann Medina
Addiction (Substance Use Disorder) Counselor in Las Vegas, New Mexico
NPI 1255595302

Bernadine Joann Medina is an Addiction (Substance Use Disorder) Counselor based in Las Vegas, NM and is specialized in Addiction (Substance Use Disorder). Bernadine Joann Medina practices in Las Vegas, NM. The NPI Number for Bernadine Joann Medina is 1255595302 and holds a License No. 0107321 (New Mexico).

The current practice location address for Bernadine Joann Medina is 3001 Hotsprings Blvd, Las Vegas, NM and can be reached out via phone at 505-425-6786 and via fax at 505-425-6787. You can also correspond with Bernadine Joann Medina through the mailing address at PO BOX 2737, LAS VEGAS, NM - 87701-2737 (mailing address contact number: 505-425-6786).

Location: 3001 Hotsprings Blvd, Las Vegas, NM, 87701-2737
person
Provider Profile Details
NPI Number
1255595302
Provider Name
Bernadine Joann Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
3001 Hotsprings Blvd, Las Vegas, NM, 87701-2737
Phone Number
505-425-6786
Fax Number
505-425-6787
Provider Enumeration Date
07/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3001 Hotsprings Blvd
City
State
Zip
87701-2737
Phone Number
505-425-6786
Fax Number
505-425-6787
person
Provider Business Mailing Address Details
Address
Po Box 2737
City
State
Zip
87701-2737
Phone Number
505-425-6786
Fax Number
505-425-6787
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0107321 (New Mexico)
Definition
Definition to come...
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