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Diane Marie Martinez
Addiction (Substance Use Disorder) Counselor in Upland, California
NPI 1174129845

Diane Marie Martinez is an Addiction (Substance Use Disorder) Counselor based in Upland, CA and is specialized in Addiction (Substance Use Disorder). Diane Marie Martinez practices in Upland, CA. The NPI Number for Diane Marie Martinez is 1174129845 and holds a License No. 22113590-II (California).

The current practice location address for Diane Marie Martinez is 1260 E Arrow Hwy Bldg E, Upland, CA and can be reached out via phone at 909-932-1069.

Location: 1260 E Arrow Hwy Bldg E, Upland, CA, 91786-4984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174129845
Provider Name
Diane Marie Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1260 E Arrow Hwy Bldg E, Upland, CA, 91786-4984
Phone Number
909-932-1069
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1260 E Arrow Hwy Bldg E
City
Upland
State
California
Zip
91786-4984
Phone Number
909-932-1069
Fax Number
person
Provider Business Mailing Address Details
Address
1260 E Arrow Hwy Bldg E
City
Upland
State
California
Zip
91786-4984
Phone Number
909-932-1069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
22113590-II (California)
Definition
Definition to come...
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