Individual
KARISSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 FULCRUM WAY NE, RIO RANCHO, NM 87144-8408
(505) 867-3351
Mailing address
4501 SAFELITE BLVD NE APT 5311, RIO RANCHO, NM 87144-9120
(505) 503-9212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-11857
NM
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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