Individual
BEATRICE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 SHERIDAN WAY, STOCKTON, CA 95207-1305
(209) 808-9321
Mailing address
1149 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 468-2335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
172V00000X
Community Health Worker
—
CA
Other
Enumeration date
05/19/2008
Last updated
03/01/2024
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