MR. Roger Daniel Martinez, LADAC

NPI #1194932020 in Taos, New Mexico

Provider Information

NPI Number
1194932020
Entity Type
Individual
Name
MR. Roger Daniel Martinez, LADAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADAC
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
413 SIPAPU
City
Taos
ZIP Code
87571-6489
Phone
(505) 758-5857

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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