Individual
SUSANNA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
11503 PARSONS RD, MANOR, TX 78653-5220
(888) 989-2784
Mailing address
11503 PARSONS RD, MANOR, TX 78653-5220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15004
TX
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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