Individual
MR. CARLOS ALBERTO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
(360) 748-0627
Mailing address
135 W MAIN ST, CHEHALIS, WA 98532-4817
(360) 748-6696
(360) 748-0627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC60041941
WA
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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