Individual
MS. BONNIE SUNSHINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTRI
Contact information
Practice address
110 E WALLACE AVE STE B, COEUR D ALENE, ID 83814-2948
(208) 406-0880
Mailing address
1058 W SPRINGFIELD DR, COEUR D ALENE, ID 83815-7775
(208) 406-0880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTI-9838
ID
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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