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Individual

CHRISTINA LYNN MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
905 MAIN STREET STE 412, KLAMATH FALLS, OR 97601
(541) 887-0844
(541) 641-0089
Mailing address
6510 SOUTH 6TH ST PMB 286, KLAMATH FALLS, OR 97603
(541) 274-0616
(541) 641-0089

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R6477
OR
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500780667
OR
Enumeration date
06/10/2020
Last updated
11/13/2023
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