Individual provider · Type 1 NPI

Jackie Martinez

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1780129015 Active

Practice location

730 Sunrise Ave Ste 200
Roseville, CA 95661-4549

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1780129015

Jackie Martinez's National Provider Identifier is 1780129015, issued on Dec 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Jan 5, 2017.