Individual
ANTOINETTE MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
5510 ABRAMS RD STE 120, DALLAS, TX 75214-2099
(214) 208-7469
(866) 294-6406
Mailing address
5510 ABRAMS RD STE 120, DALLAS, TX 75214-2099
(214) 208-7469
(866) 294-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71350
TX
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3501603
—
TX
Enumeration date
05/15/2015
Last updated
10/08/2024
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