MARIAH EVA MARIE MARTINEZ
NPI 1003539412
Counselor - Mental Health in Stockton, CA
Active since September 21, 2022
About Mariah Eva Marie Martinez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH EVA MARIE MARTINEZ (NPI 1003539412) is an individual mental health provider in Stockton, California and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1003539412
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIAH EVA MARIE MARTINEZ
Location Address430 N PILGRIM STStockton, CA 95205-4428
Mailing Address1447 Linden WayManteca, CA 95336-6459
Phone(209) 466-0853
Sole ProprietorNo
Enumeration DateSeptember 21, 2022
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1003539412 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
430 N PILGRIM ST, Stockton, CA 95205
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003539412, enumerated as an "individual" on September 21, 2022.
The provider is located at 430 N PILGRIM ST STOCKTON, CA 95205 and the phone number is (209) 466-0853.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.