Nelda Martinez, LSAA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Laguna, NM

NPI 1427698281 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1427698281
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CSA0173451 (NM)
Practice address
7 Rio San Jose
Laguna, NM 87026
Phone
(505) 249-2444
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CSA0173451NMMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CSA0173451 NM Yes

Addresses

Primary practice location

7 Rio San Jose
Laguna, NM 87026

Mailing address

7 Rio San Jose
Laguna, NM 87026
Phone (505) 249-2444

Other identifiers

IdentifierTypeStateIssuer
5059555901OtherNMNM DRIVERS LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nmartinez@pol-nsn.gov Direct

Other providers in Laguna, NM

All providers in Laguna, NM · Addiction (Substance Use Disorder) Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.