Individual
ANTHONY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 313-8433
(916) 313-8431
Mailing address
PO BOX 191251, SACRAMENTO, CA 95819-1251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
104100
CA
Other
Enumeration date
09/24/2018
Last updated
09/20/2021
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