Individual
MS. AMANDA CATHERINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTC/CTRS/CYC-P
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4182
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(562) 706-3937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
05/27/2010
Last updated
07/07/2023
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