Individual
EDREA DANETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
8360 FAIR PINES LN, GARDEN VALLEY, CA 95633-9233
(801) 870-8834
Mailing address
8360 FAIR PINES LN, GARDEN VALLEY, CA 95633-9233
(801) 870-8834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18125
CA
101YM0800X
Mental Health Counselor
7600310-6009
UT
101YP2500X
Professional Counselor
Primary
18125
CA
Other
Enumeration date
02/22/2011
Last updated
08/26/2025
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