Individual
MARTIN NOLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
34153
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2017
Last updated
09/25/2023
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