Individual
MS. DENISE A MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701
(505) 617-0492
(505) 425-2708
Mailing address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 425-2622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2281
NM
Other
Enumeration date
02/01/2007
Last updated
01/22/2025
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