Medina, Johanna

Medina, Johanna is an sole proprietor health care provider with primary practice located at 8901 Bluewater Rd Nw , Albuquerque NM 87121-2024. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Medina, Johanna can be contacted via phone (505) 833-7540.

Contact Information

Primary practice address
8901 Bluewater Rd Nw Albuquerque NM 87121-2024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M-09360 New Mexico

Profile Details

NPI number 1407313448
LBN Legal business name Medina, Johanna
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2019
Last updated Feb 26th, 2019 - about 5 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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