Individual
EPIMENIA MARCELLA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 425-2622
(505) 425-9223
Mailing address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 425-2622
(505) 425-9223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0480
NM
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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