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Individual
DAVID ANTHONY MARTINEZ
Active
Individual
DAVID ANTHONY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P122
P122
CA
Enumeration date
12/18/2007
Last updated
09/30/2015
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