Individual
ENRIQUE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CRC
Contact information
Practice address
1510 STUDLEY DR. NW, PALM BAY, FL 32907
(909) 801-0532
Mailing address
1510 STUDLEY DR. NW, PALM BAY, FL 32907
(909) 801-0532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00117560
IL
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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