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Individual

DIANA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1318 BEACON ST, BROOKLINE, MA 02446-3704
(617) 855-9295
Mailing address
1318 BEACON ST, BROOKLINE, MA 02446-3704
(617) 855-9295

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11747-MH-CC
MA

Other

Enumeration date
04/20/2020
Last updated
04/20/2020
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