Individual
AMY CHRISTINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT129469
Contact information
Practice address
1875 W REDONDO BEACH BLVD STE 303, GARDENA, CA 90247-3644
(562) 396-4844
Mailing address
1875 W REDONDO BEACH BLVD, GARDENA, CA 90247-3641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103684
CA
106H00000X
Marriage & Family Therapist
103684
CA
106H00000X
Marriage & Family Therapist
Primary
129469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952633765
MEDI-CAL
CA
Enumeration date
09/28/2017
Last updated
11/06/2023
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