Individual
ANGELIQUE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
12781 JOSEPHINE ST, GARDEN GROVE, CA 92841-4622
(657) 251-0503
Mailing address
6400 LINCOLN AVE APT 6206, BUENA PARK, CA 90620-3609
(657) 767-5752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1488161122
CA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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