Individual
MS. INGRID LISSETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S GRAND AVE STE 600, LOS ANGELES, CA 90015-3068
(213) 742-6250
Mailing address
21034 BRYANT STREET, APARTMENT 4, CANOGA PARK, CA 91304
(818) 277-0273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
09/12/2019
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