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Individual
DIANA MARTINEZ
Active
Individual
DIANA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006128
WA
101YM0800X
Mental Health Counselor
CG60531682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071978
—
WA
Enumeration date
02/26/2016
Last updated
10/11/2018
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