Miss. Jacqueline Francine Medina, CACII
Miss. Jacqueline Francine Medina, CACII is a Community/Behavioral Health Agency in Alamosa, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2011
Practice location Address checks out
2265 Lava LnAlamosa, CO 81101-3578
Phone: (719) 589-5176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 7185 (CO) |
|---|
Record details
| NPI number | 1912297300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CACII |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2011 |
| Last updated in NPPES | April 19, 2011 |
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