Individual
NICHOLAS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
Mailing address
8350 E RAINTREE DR STE 130, SCOTTSDALE, AZ 85260-2692
(480) 508-0882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19220
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-19220
LICENSE
AZ
Enumeration date
04/13/2022
Last updated
04/13/2022
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