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Taylor Martinez

Counselor, Addiction (Substance Use Disorder) in San Leandro, CA. Individual provider (NPI-1).

NPI number1467006809
StatusActive
Last updated in NPPESJul 24, 2019

Details

NPI
1467006809
Entity type
Individual (NPI-1)
Name
Taylor Martinez
Sex
Male
Sole proprietor
No
Enumeration date
Jul 24, 2019
Last updated
Jul 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2035 Fairmont Dr
San Leandro, CA 94578-1088

Phone 510-346-7833

Mailing address

10739 Dulsie Ln
Dublin, CA 94568-5541

Phone 925-200-5604

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