Individual
AMANDA J. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6980 CHESTNUT ST, GILROY, CA 95020-6635
(408) 846-4725
(408) 842-0757
Mailing address
1437 PINTAIL CIR, LOS BANOS, CA 93635-2712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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