Most Relevant Information
Provider Data
| NPI Number: | 1003368887 |
| Provider Name: | VIRGINIA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 10 |
Most Important Dates
| Enumeration Date: | 10/27/2016 |
| Last Updated: | 10/27/2016 |
Provider Practice Location
7776 E PAINTED WAGON PATH
PRESCOTT VALLEY
AZ
863157811
Practice Location Phone/Fax
| Phone: | 9284200959 |
| Fax: |
Provider Mailing Location
7776 E PAINTED WAGON PATH
PRESCOTT VALLEY
AZ
863157811
Provider Mailing Phone/Fax
| Phone: | 9284200959 |
| Fax: |