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Sandra Martinez
Mental Health Counselor in Oakland, California
NPI 1558540187

Sandra Martinez is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Sandra Martinez practices in Oakland, CA. The NPI Number for Sandra Martinez is 1558540187 and holds a License No. (California).

The current practice location address for Sandra Martinez is 1501 Fruitvale Ave, Oakland, CA and can be reached out via phone at 510-535-6200 and via fax at 510-535-4167.

Location: 1501 Fruitvale Ave, Oakland, CA, 94601-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558540187
Provider Name
Sandra Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1501 Fruitvale Ave, Oakland, CA, 94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-1063 01 CA FQHC MEDICARE A
ZZZ29799Z 01 CA FQHC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1501 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider Business Mailing Address Details
Address
1501 Fruitvale Ave
City
Oakland
State
California
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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