Individual
AMANDA RAQUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
725 RIDGEVIEW LN, SUGAR GROVE, IL 60554-5049
(331) 278-8484
Mailing address
725 RIDGEVIEW LN, SUGAR GROVE, IL 60554-5049
(331) 278-8484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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