Individual
SHELLEY DARLENE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, NCC
Contact information
Practice address
2320 GRANDE BLVD SE STE C, RIO RANCHO, NM 87124-1654
(505) 410-1773
Mailing address
2320 GRANDE BLVD SE STE C, RIO RANCHO, NM 87124-1654
(505) 410-1773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH005695
NM
Other
Enumeration date
11/16/2006
Last updated
11/28/2023
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