Individual
SUZANNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
701 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7337
(217) 398-1577
(217) 586-7583
Mailing address
701 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7337
(217) 398-1577
(217) 586-7583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000614
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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