Individual
ALLISON JEAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 RAMONA BLVD STE I, IRWINDALE, CA 91706
(626) 337-3828
Mailing address
13001 RAMONA BLVD STE I, IRWINDALE, CA 91706-3752
(626) 337-3828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83011
CA
1041C0700X
Clinical Social Worker
Primary
LCSW100742
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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