Individual
VANESSA C MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 COORS BYP NW STE E1, ALBUQUERQUE, NM 87114-4055
(505) 677-0988
(505) 808-4942
Mailing address
PO BOX 45281, RIO RANCHO, NM 87174-5281
(505) 677-0988
(505) 808-4942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
SWB-2022-0831
NM
Other
Enumeration date
01/10/2023
Last updated
08/22/2024
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