Individual
ALICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 BRISTOL ST STE 100, COSTA MESA, CA 92626-7334
(714) 327-1936
(714) 327-0151
Mailing address
3070 BRISTOL ST STE 100, COSTA MESA, CA 92626-7334
(714) 327-1936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
11/13/2018
Last updated
12/01/2020
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