person
Desiree Dawn Martinez, LSAA
Addiction (Substance Use Disorder) Counselor in Espanola, New Mexico
NPI 1972229888

Desiree Dawn Martinez is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, NM and is specialized in Addiction (Substance Use Disorder). Desiree Dawn Martinez practices in Espanola, NM and has the professional credentials of LSAA. The NPI Number for Desiree Dawn Martinez is 1972229888 and holds a License No. CTB-2022-0753 (New Mexico).

The current practice location address for Desiree Dawn Martinez is 1227 N Railroad Ave Ste C, Espanola, NM and can be reached out via phone at 505-747-8187 and via fax at 505-747-8306.

Location: 1227 N Railroad Ave Ste C, Espanola, NM, 87567-1725
person
Provider Profile Details
NPI Number
1972229888
Provider Name
Desiree Dawn Martinez
Credential
LSAA
Provider Entity Type
Individual
Gender
Female
Address
1227 N Railroad Ave Ste C, Espanola, NM, 87567-1725
Phone Number
505-747-8187
Fax Number
505-747-8306
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CTB-2022-0753 05 NM
institution
Provider Business Practice Location Address Details
Address
1227 N Railroad Ave Ste C
City
State
Zip
87532-3159
Phone Number
505-747-8187
Fax Number
505-747-8306
person
Provider Business Mailing Address Details
Address
1227 N Railroad Ave Ste C
City
State
Zip
87532-3159
Phone Number
505-747-8187
Fax Number
505-747-8306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CTB-2022-0753 (New Mexico)
Definition
Definition to come...
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