Individual
MARY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 HILLRISE CIR, LAS CRUCES, NM 88011-4741
(720) 966-8200
Mailing address
4620 OLIVER MANOR DR, PARRISH, FL 34219-7575
(484) 408-4272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
07/31/2026
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