Individual
MS. KRISTINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-6682
(702) 968-5000
(702) 968-5050
Mailing address
8920 W RUSSELL RD UNIT 2028, LAS VEGAS, NV 89148-1509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
MI4288
NV
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2019
Last updated
11/06/2023
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