Individual
ELVA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3300 COUNTY ROAD 10, BROOKLYN CENTER, MN 55429-3072
(612) 584-4868
Mailing address
3300 COUNTY ROAD 10, BROOKLYN CENTER, MN 55429-3072
(612) 584-4868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306226
MN
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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