Individual
INACIA CELESTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
Mailing address
538 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0818
NM
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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