Individual
VANESSA MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
1700 CARGO CT, JEFFERSONTOWN, KY 40299-1938
(800) 805-6989
Mailing address
2314 PIKES PEAK BLVD, LOUISVILLE, KY 40214-1160
(270) 243-7609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
282011
KY
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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