Individual
TAMMY M. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 EDEN ISLES BLVD, SLIDELL, LA 70458-5570
(504) 451-5426
Mailing address
340 EDEN ISLES BLVD, SLIDELL, LA 70458-5570
(045) 451-5426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8549
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/24/2020
Last updated
09/30/2025
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