# MR. JOSHUA SHANE MARTINEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144927039
- **Gender:** Man
- **Credential:** LCDC-I, MHPS, CHW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 54451 | TX | Yes |
| 172V00000X | Community Health Worker | 9822 | TX | — |
| 175T00000X | Peer Specialist | 1197-0120 | TX | — |
| 175T00000X | Peer Specialist | 1814-0519 | TX | — |
| 175T00000X | Peer Specialist | 50044-1120 | TX | — |

## Other

- **Enumeration date:** 02/10/2023
- **Last updated:** 02/10/2023