Individual
MRS. VANESSA R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2001 SPRING DR SE, RIO RANCHO, NM 87124-2483
(505) 994-0364
Mailing address
9312 DAISY SUMMER AVE SW, ALBUQUERQUE, NM 87121-5369
(505) 917-7569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0189621
NM
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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