Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelica Deidre Medina, CCSW

Individual provider Counselor · NPI 1295020022

Angelica Deidre Medina, CCSW is a Counselor in Questa, New Mexico. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

2573 State Highway 522
Questa, NM 87556
Phone: (575) 586-0315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1295020022
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCSW
Sole proprietorNo
NPI enumeratedJune 9, 2011
Last updated in NPPESMarch 6, 2017