Individual
CHERYL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4834 LOGAN AVE APT 107, SAN DIEGO, CA 92113-4419
(619) 733-8380
Mailing address
4834 LOGAN AVE APT 107, SAN DIEGO, CA 92113-4419
(619) 733-8380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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