Individual
INEZ MARTINEZ-SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 MANCHESTER RD STE 602, WHEATON, IL 60187-4587
(630) 480-0060
Mailing address
328 DAVID CT UNIT D, BARTLETT, IL 60103-7875
(630) 785-8261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178015586
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/08/2020
Last updated
08/18/2021
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