Individual
MR. LUIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5560
OR
103TC1900X
Counseling Psychologist
Primary
C5560
OR
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
Update your record
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