Angelica Deidre Medina, CCSW - Questa, NM

Angelica Deidre Medina, CCSW

Counselor in Questa, New Mexico

NPI 1295020022

Angelica Deidre Medina is a Counselor based in Santa Fe, NM. Angelica Deidre Medina practices in Questa, NM and has the professional credentials of CCSW. The NPI Number for Angelica Deidre Medina is 1295020022 and holds a License No. (New Mexico).

The current practice location address for Angelica Deidre Medina is 2573 State Highway 522, Questa, NM and can be reached out via phone at 575-586-0315.

Location: 2573 State Highway 522, Questa, NM, 87504-2267

NPI Number

1295020022

Provider Name

Angelica Deidre Medina

Credential

CCSW

Provider Entity Type

Individual

Gender

Female

Address

2573 State Highway 522, Questa, NM, 87504-2267

Phone Number

575-586-0315

Fax Number

Provider Enumeration Date

06/09/2011

Last Update Date

03/09/2024

Address

2573 State Highway 522

City

Questa

State

New Mexico

Zip

87556

Phone Number

575-586-0315

Fax Number

Address

2573 State Highway 522

City

Questa

State

New Mexico

Zip

87556

Phone Number

575-586-0315

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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