Sofia Celestina Martinez, LCSW
Social Worker, Clinical in Fullerton, CA. Individual provider (NPI-1).
NPI number1962017103
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1962017103
- Entity type
- Individual (NPI-1)
- Name
- Sofia Celestina Martinez
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2020
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW95187 | CA | Yes |
Practice location
835 Adlena DrFullerton, CA 92833-2349
Phone 714-722-4712
Mailing address
835 Adlena DrFullerton, CA 92833-2349
Phone 714-680-6060
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