Individual
AMIE MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
682 BRIERGATE WAY, HAYWARD, CA 94544-7245
(510) 589-0136
Mailing address
16459 E 14TH ST APT 23, SAN LEANDRO, CA 94578-3198
(510) 938-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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