Organization
SOMETHING DIFFERENT MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KATHLEEN MARTINEZ PMHNP (OWNER/AUTHORIZED OFFICIAL)
(505) 573-3349
Entity
Organization
Contact information
Practice address
3900 JUAN TABO BLVD NE STE 10, ALBUQUERQUE, NM 87111-3978
(505) 573-3349
Mailing address
3900 JUAN TABO BLVD NE STE 10, ALBUQUERQUE, NM 87111-3978
(505) 573-3349
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
06/02/2022
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