Individual
BRENDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW 104697
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 993-3100
Mailing address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104697
CA
104100000X
Social Worker
104697
CA
1041C0700X
Clinical Social Worker
Primary
104697
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
05/19/2017
Last updated
10/26/2025
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