Individual
MS. CANDELARIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R1377450220
Contact information
Practice address
1414 W KEARNEY BLVD, FRESNO, CA 93706-2702
(559) 485-0501
(559) 485-1313
Mailing address
1414 W KEARNEY BLVD, FRESNO, CA 93706-2702
(559) 485-0501
(559) 485-1313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17120
CA
Other
Enumeration date
02/21/2020
Last updated
09/19/2025
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