Individual
ASHLEY MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 S 18TH ST, BRAWLEY, CA 92227-2859
(760) 623-7131
Mailing address
PO BOX 26633, SAN DIEGO, CA 92196-0633
(760) 554-8580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
104100000X
Social Worker
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2021
Last updated
12/05/2024
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