Individual
TANYA SUSETTE MARTINEZ-CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(830) 935-2800
Mailing address
102 BRAZOS LN, KYLE, TX 78640-5289
(512) 775-1027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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