Individual provider · Type 1 NPI

Roger Daniel Martinez, LADAC

Addiction (Substance Use Disorder) Counselor · Taos, NM

NPI number 1194932020 Active

Practice location

413 Sipapu
Taos, NM 87571-6489

Call (505) 758-5857 Map

Fax (505) 758-2832

Mailing address

PO Box 33073
Santa Fe, NM 87594-3073

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4956 (NM)

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

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About NPI 1194932020

Roger Daniel Martinez, LADAC's National Provider Identifier is 1194932020, issued on May 17, 2007. 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 Jul 8, 2007.