Individual provider · Type 1 NPI

Diane Marie Martinez

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1174129845 Active

Practice location

1260 E Arrow Hwy Bldg E
Upland, CA 91786-4984

Call (909) 932-1069 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2213590-II (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2213590-II (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174129845

Diane Marie Martinez's National Provider Identifier is 1174129845, issued on Dec 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Sep 24, 2024.