Individual
GLORIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPCC
Contact information
Practice address
12004 N STAR TRL NW, ALBUQUERQUE, NM 87120-5042
(505) 450-7115
Mailing address
8023 CARPENTER CREEK AVE, LAS VEGAS, NV 89113-3685
(505) 450-7115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0185541
NM
101YM0800X
Mental Health Counselor
CP3322-R
NV
Other
Enumeration date
11/23/2021
Last updated
09/28/2024
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