Individual
MRS. ANNETTE HERNANDEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC, CEAP,SAP
Contact information
Practice address
2245 N MAIN ST, PEARLAND, TX 77581-4144
(409) 996-3131
Mailing address
34 PRAIRIE KNOLL DR, SANTA FE, TX 77510-8145
(409) 996-3131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5645
TX
1041C0700X
Clinical Social Worker
Primary
31090
TX
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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