Individual
MAYRA CRYSTAL PEREZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 EVANS LN, SAN JOSE, CA 95125-2072
(408) 793-2400
(408) 448-1815
Mailing address
2090 EVANS LN, SAN JOSE, CA 95125-2072
(408) 793-2400
(408) 448-1815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1537371123
CA
251S00000X
Community/Behavioral Health Agency
Primary
R1537371123
CA
Other
Enumeration date
11/15/2023
Last updated
05/26/2026
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