Individual
JORGE A MARTINEZ-TORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP 796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
796
PR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6235
PR
103TC0700X
Clinical Psychologist
Primary
6235
PR
Other
Enumeration date
09/03/2015
Last updated
02/04/2019
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