Theresa Rose Martinez
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1114455292
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1114455292
- Entity type
- Individual (NPI-1)
- Name
- Theresa Rose Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2017
- Certification date
- Jun 28, 2023
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT13177 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
8665 Gibbs Dr Ste 150San Diego, CA 92123-1739
Phone 858-384-6284
Mailing address
8665 Gibbs Dr Ste 150San Diego, CA 92123-1739
Phone 858-384-6284
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