Individual
JAVIER F MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7965
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTB-2024-0562
NM
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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