Individual
MARIA C. SANTOS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 PLAZA DR, KISSIMMEE, FL 34743-4040
(407) 483-3184
Mailing address
162 WINDERMERE WAY, ST AUGUSTINE, FL 32095-7558
(787) 619-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
103TH0100X
Health Service Psychologist
—
CA
103TH0100X
Health Service Psychologist
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/22/2016
Last updated
08/05/2022
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