MINDIE A MEDINA, BA – NPI #1609292069
Community/Behavioral Health

NPI Profile for MINDIE A MEDINA in MEDFORD, OR.

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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Contact Information

MINDIE A MEDINA, BA

1005 E. MAIN ST
MEDFORD, OR 97504

Phone: 702-420-9219
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Behavioral Health	251S00000X

Indicates primary specialty

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NPI Profile & details for MINDIE A MEDINA · (Female)

NPI Number	`1609292069`
Status	Active
Credentials	BA
Entity	Individual
Enumeration date	03/10/2014
Last updated	03/10/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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