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Individual

PEARL PRISCILLA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
13359 N HIGHWAY 183 STE 406-611, AUSTIN, TX 78750
(512) 655-3944
Mailing address
13359 N HIGHWAY 183 STE 406-611, AUSTIN, TX 78750-7153
(512) 655-3944

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202425
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
742868929
TX
Enumeration date
08/23/2017
Last updated
11/26/2019
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