Brenda Medina, LCSW

NPI #1023490034 in Los Lunas, New Mexico

Provider Information

NPI Number: 1023490034
Entity Type: Individual
Name: Brenda Medina, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 25, 2015
Last Updated: Oct 2, 2018

Practice Location

Address: 428 LOS LENTES RD SE STE 3
City: Los Lunas
State: New Mexico
ZIP Code: 87031-6018
Phone: (505) 865-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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