Individual
ANTHONY RENEE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78140 CALLE TAMPICO, LA QUINTA, CA 92253-2900
(760) 619-6667
Mailing address
78140 CALLE TAMPICO, LA QUINTA, CA 92253-2900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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