Organization
COLLECTIVE CACTUS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA MARTINEZ (OWNER/THERAPIST)
(910) 803-1227
Entity
Organization
Contact information
Practice address
1101 RIDGE RD STE 202, ROCKWALL, TX 75087-4250
(910) 803-1227
Mailing address
1101 RIDGE RD STE 202, ROCKWALL, TX 75087-4250
(910) 803-1227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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