Individual
MS. LYNETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
101 D AVENUE, ZUNI, NM 87327
(505) 782-4710
(505) 782-5880
Mailing address
PO BOX 339, ZUNI, NM 87327-0339
(505) 782-4710
(505) 782-5580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0121301
NM
Other
Enumeration date
03/25/2009
Last updated
11/12/2021
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