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Individual
DEVA MARTINEZ
Active
Individual
DEVA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1403
AR
101YM0800X
Mental Health Counselor
Primary
MH15370
FL
101YM0800X
Mental Health Counselor
P1103014
AR
101YP1600X
Pastoral Counselor
14152
NC
Other
Enumeration date
05/14/2008
Last updated
07/20/2021
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