Individual
ALFRED MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R1215080915
Contact information
Practice address
504 BERNARD ST, BAKERSFIELD, CA 93305-3018
(661) 637-2187
(661) 326-1342
Mailing address
504 BERNARD ST, BAKERSFIELD, CA 93305-3018
(661) 637-2187
(661) 326-1342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1215080915
CA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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