Individual
AMARILIA MARTINEZ-CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-6145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-6145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28463
NC
1041C0700X
Clinical Social Worker
Primary
P018315
NC
Other
Enumeration date
08/16/2022
Last updated
09/20/2022
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