Individual
CASSANDRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA, CPSW
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Mailing address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0260
NM
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/11/2022
Last updated
08/06/2025
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