Individual
ANTONIO SALVADOR MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6051 N FRESNO ST STE 202, FRESNO, CA 93710-5280
(559) 274-0299
Mailing address
6051 N FRESNO ST STE 202, FRESNO, CA 93710-5280
(559) 274-0299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
03/04/2026
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