Individual
DIOSSELINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
112 ROCKWOOD PL, ENGLEWOOD, NJ 07631-5028
(347) 517-6190
Mailing address
61 GREENPOINT AVE, BROOKLYN, NY 11222-3894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P108579
NY
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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