Individual provider · Type 1 NPI

Rosella G. Martinez, SAA

Addiction (Substance Use Disorder) Counselor · Taos, NM

NPI number 1104150242 Active

Practice location

413 Sipapu St, Box 6952
Taos, NM 87571-6489

Call (575) 758-5758 Map

Fax (575) 758-2832

Mailing address

Gallina Canyon Road, House #12
Valdez, NM 87580

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0111351 (NM)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1104150242

Rosella G. Martinez, SAA's National Provider Identifier is 1104150242, issued on Sep 22, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taos, NM. The record was last updated on Sep 22, 2009.