Individual provider · Type 1 NPI

Desiree Dawn Martinez, LSAA

Addiction (Substance Use Disorder) Counselor · Espanola, NM

NPI number 1972229888 Active

Practice location

1227 N Railroad Ave Ste C
Espanola, NM 87532-3159

Call (505) 747-8187 Map

Fax (505) 747-8306

Mailing address

PO Box 1725
Santa Cruz, NM 87567-1725

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2022-0753 (NM)

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

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About NPI 1972229888

Desiree Dawn Martinez, LSAA's National Provider Identifier is 1972229888, issued on Oct 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Espanola, NM. The record was last updated on Oct 13, 2022.