Individual provider · Type 1 NPI
Guadalupe Rosa Martinez, LSAA
Addiction (Substance Use Disorder) Counselor · Canutillo, TX
NPI number
1497939060
Active
Practice location
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Fax (915) 877-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0108821 (NM) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497939060
Guadalupe Rosa Martinez, LSAA's National Provider Identifier is 1497939060, issued on Dec 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canutillo, TX. The record was last updated on Sep 23, 2009.