Individual
CARLOS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC
Contact information
Practice address
696 E COLORADO BLVD STE 222, PASADENA, CA 91101-2122
(626) 202-9858
Mailing address
696 E COLORADO BLVD STE 222, PASADENA, CA 91101-2122
(626) 202-9858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCI04461015
CA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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