Individual
MARTIN ENRIQUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
1090 S SABLE BLVD, AURORA, CO 80012-3796
(720) 858-9111
(720) 858-1199
Mailing address
1090 S SABLE BLVD, AURORA, CO 80012-3796
(720) 858-9111
(720) 858-1199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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