Individual
VIRGINIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7776 E PAINTED WAGON PATH, PRESCOTT VALLEY, AZ 86315-7811
(928) 420-0959
Mailing address
7776 E PAINTED WAGON PATH, PRESCOTT VALLEY, AZ 86315-7811
(928) 420-0959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10
AZ
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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