IndividualActive
Bernadine Medina
NPI 1255595302 · Addiction (Substance Use Disorder) Counselor · Las Vegas, NM
Provider details
- NPI number
- 1255595302
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0107321 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3001 Hotsprings Blvd
Las Vegas, NM 87701-2737
Phone: (505) 425-6786
Fax: (505) 425-6787
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2737
Las Vegas, NM 87701-2737
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.