Individual
ALBERT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.S.
Contact information
Practice address
565 CHANEY ST, LAKE ELSINORE, CA 92530-2722
(951) 674-5354
(951) 674-5227
Mailing address
565 CHANEY ST, LAKE ELSINORE, CA 92530-2722
(951) 674-5354
(951) 674-5227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4030
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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