Individual provider · Type 1 NPI
Priest Martinez
Addiction (Substance Use Disorder) Counselor · Lucerne, CA
NPI number
1043774193
Active
Practice location
6300 E Hwy 20 Unit B
Lucerne, CA 95458
Fax (707) 600-1325
Mailing address
PO Box 316
Lucerne, CA 95458-0316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R8725 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043774193
Priest Martinez's National Provider Identifier is 1043774193, issued on Jan 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lucerne, CA. The record was last updated on Jan 23, 2019.