Organization
SHELLEY MARTINEZ, LPCC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MARTINEZ (OWNER/PROVIDER)
(505) 410-1773
Entity
Organization
Contact information
Practice address
2200 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124-1695
(505) 410-1773
(505) 884-5701
Mailing address
2200 GRANDE BLVD SE STE B, RIO RANCHO, NM 87124-1695
(505) 410-1773
(505) 884-5701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
005695
NM
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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