Individual
MS. LORI ANNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LISAC
Contact information
Practice address
700 W MAIN ST, PAYSON, AZ 85541-4790
(928) 970-1967
Mailing address
700 W MAIN ST, PAYSON, AZ 85541-4790
(928) 970-1967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1650
AZ
101YP2500X
Professional Counselor
LPC-2395
AZ
Other
Enumeration date
09/21/2006
Last updated
09/11/2025
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