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

MS. Candelaria Medina, R1377450220

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699308205

MS. Candelaria Medina, R1377450220 is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1414 W Kearney Blvd
Fresno, CA 93706-2702
Phone: (559) 485-0501
Fax: (559) 485-1313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17120 (CA)

Record details

NPI number1699308205
Entity typeIndividual (Type 1)
GenderFemale
Credentials R1377450220
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

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