Dan Martinez LPCC

NPI 1083621049 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083621049
Gender Male
Enumeration Date 08/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2600 MARBLE NE
PROGRAMS FOR CHILDREN - ADOLESCENTS
ALBUQUERQUE NM, 87107, US
Phone (505) 841-7360
Fax
Business Location
2600 MARBLE AVE NE
MSC09 5030
ALBUQUERQUE NM, 87106-2058, US
Phone (505) 841-7360
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State New Mexico
License Number 0991
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According to our database, Dan Martinez LPCC NPI is 1083621049, taxonomy code is 2084P0800X and license number is 0991, license state is located at New Mexico. Dan Martinez LPCC physically located at 2600 Marble Ne, Albuquerque NM, 87107. NPI Number Dan Martinez LPCC has the Individual type.

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1083621049 NPI number is provided on an as is basis without warranty of any kind. 1083621049 is maintained by the National Plan & Provider Enumeration System. The contents of Dan Martinez LPCC are for informational purposes only.