Individual
NATHANAEL R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
10051 COUNTRY RD BLDG C, WEEKI WACHEE, FL 34613-5264
(941) 275-9659
Mailing address
10051 COUNTRY RD BLDG C, WEEKI WACHEE, FL 34613-5264
(941) 275-9659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4532
FL
Other
Enumeration date
12/14/2022
Last updated
06/17/2024
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