Medina, Denise A
Medina, Denise A is an sole proprietor health care provider with primary practice located at 2503 Ridge Runner Rd , Las Vegas NM 87701. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Medina, Denise A can be contacted via phone (505) 617-0492.Contact Information
Primary practice address
2503 Ridge Runner Rd
Las Vegas NM 87701
Phone: (505) 617-0492
Fax: (505) 425-2708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2281 | New Mexico |
Profile Details
| NPI number | 1528106770 |
|---|---|
| LBN Legal business name | Medina, Denise A |
| Credentials | MA LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 11th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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