| Anielka Yajaira Martinez | |
|
842 Miraggio Dr Patterson CA 95363-9273 | |
| (510) 804-5865 | |
| Not Available |
| Full Name | Anielka Yajaira Martinez |
|---|---|
| Speciality | Counselor - Professional |
| Location | 842 Miraggio Dr, Patterson, California |
| Authorized Official Name and Position | Anielka Martinez (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5108045865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anielka Yajaira Martinez 842 Miraggio Dr Patterson CA 95363-9273 Ph: (510) 804-5865 | Anielka Yajaira Martinez 842 Miraggio Dr Patterson CA 95363-9273 Ph: (510) 804-5865 |
| NPI Number | 1669187233 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669187233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Primary |
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