Individual
CHARLES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 ROCKVILLE PIKE, SUITE 145, ROCKVILLE, MD 20850-4153
(240) 777-4722
(240) 777-4806
Mailing address
255 ROCKVILLE PIKE, SUITE 145, ROCKVILLE, MD 20850-4153
(240) 777-4722
(240) 777-4806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA315
MD
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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