Individual
MRS. HEATHER S MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 260, ALBUQUERQUE, NM 87120-2160
(505) 226-2839
(505) 295-2559
Mailing address
6330 RIVERSIDE PLAZA LN NW STE 260, ALBUQUERQUE, NM 87120-2160
(505) 226-2839
(505) 295-2559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0379
NM
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29122350
—
NM
Enumeration date
02/22/2011
Last updated
04/07/2025
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