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Individual
LOUIE JOHN MARTINEZ
Active
Individual
LOUIE JOHN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
ASW100308
CA
104100000X
Social Worker
ASW100308
CA
1041C0700X
Clinical Social Worker
Primary
120065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891310645
—
CA
Enumeration date
06/08/2020
Last updated
01/04/2024
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