Individual
LEONA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0002027
CO
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
03/01/2023
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