Individual
ANIELKA Y MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 804-5865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A9580789
CA
101YP2500X
Professional Counselor
Primary
9619
CA
101YP2500X
Professional Counselor
M635067946734
MD
Other
Enumeration date
08/05/2010
Last updated
05/20/2021
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