Individual
ANISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S 2ND AVE, COVINA, CA 91723-3017
(626) 973-8123
(626) 974-8198
Mailing address
1215 N HEATHDALE AVE, COVINA, CA 91722-1439
(626) 824-3018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
02/22/2023
Last updated
04/18/2025
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