Individual
DIEGO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 631-8831
Mailing address
20415 60TH AVE NE, KENMORE, WA 98028-8531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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