Individual
MS. LUANN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1000 MAIN ST NW # D-16, LOS LUNAS, NM 87031-4849
(505) 866-0590
Mailing address
1000 MAIN ST NW # D-16, LOS LUNAS, NM 87031-4849
(505) 866-0590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0122031
NM
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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