Individual
YESENIA ISELA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
(956) 728-0440
(956) 722-7589
Mailing address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
(956) 728-0440
(956) 722-7589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9811
TX
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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