Individual
ANGELITA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 MYRTLE AVE, INGLEWOOD, CA 90301-4009
(310) 412-4191
Mailing address
1774 ZONAL AVE BLDG C, LOS ANGELES, CA 90033-1064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/05/2023
Last updated
05/03/2025
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