Everett R Martin-Gonzales

NPI #1639506959 in Salida, Colorado

Provider Information

NPI Number: 1639506959
Entity Type: Individual
Name: Everett R Martin-Gonzales
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 1, 2013
Last Updated: Oct 1, 2013

Practice Location

Address: 111 VESTA RD
City: Salida
State: Colorado
ZIP Code: 81201-9327
Phone: (719) 275-2351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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