| Shelley Martinez, Lpcc, Llc | |
|
2200 Grande Blvd Se Ste B Rio Rancho NM 87124-1695 | |
| (505) 410-1773 | |
| (505) 884-5701 |
| Full Name | Shelley Martinez, Lpcc, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Shelley Martinez (OWNER/PROVIDER) |
| Authorized Official Contact | 5054101773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Martinez, Lpcc, Llc 2200 Grande Blvd Se Ste B Rio Rancho NM 87124-1695 Ph: (505) 410-1773 | Shelley Martinez, Lpcc, Llc 2200 Grande Blvd Se Ste B Rio Rancho NM 87124-1695 Ph: (505) 410-1773 |
| NPI Number | 1861808800 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861808800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 005695 (New Mexico) | Primary |
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