Individual
MS. VIRGINIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
1750 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302
(248) 341-3399
Mailing address
1750 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302-0177
(248) 341-3399
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301017341
MI
Other
Enumeration date
02/27/2018
Last updated
09/10/2018
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