Individual
MISS LESLIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 W MCDOWELL RD STE 7022, AVONDALE, AZ 85392-4871
(623) 215-8189
Mailing address
12831 N 31ST ST, PHOENIX, AZ 85032-6516
(928) 414-1045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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