Individual
JOAN M MARTINEZ-MAGUIRE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2600 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2920
Mailing address
909 FRUIT AVE NW, ALBUQUERQUE, NM 87102-1917
(505) 766-7641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0946
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074639
—
NM
Enumeration date
11/07/2005
Last updated
07/09/2007
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