Diego-Medina, Jacqueline

Diego-Medina, Jacqueline is an sole proprietor health care provider with primary practice located at 5001 N Piedras St , El Paso TX 79930-4210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diego-Medina, Jacqueline can be contacted via phone (915) 564-6100.

Contact Information

Primary practice address
5001 N Piedras St El Paso TX 79930-4210
Phone: (915) 564-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 41732 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X M-05991 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 41732 Texas

Profile Details

NPI number 1558488460
LBN Legal business name Diego-Medina, Jacqueline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Jan 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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