Individual
DOLORES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
474 W VERMONT AVE, STE. 103, ESCONDIDO, CA 92025-6584
(760) 745-0281
Mailing address
474 W VERMONT AVE, STE. 103, ESCONDIDO, CA 92025-6584
(760) 745-0281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/23/2014
Last updated
06/29/2017
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