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Provider Information for 1033312145


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Ms. SONYA ANN MARTINEZ LPC


Sex: Female

NPI: 1033312145
Last Updated: 2024-01-25
Certification Date: 2024-01-25

Details

NameValue
NPI1033312145
Enumeration Date2007-06-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 16500 LAUDER LN APT 1205
DALLAS, TX 75248-1772
United States

Phone: 469-222-5828 | Fax:
 
Primary Practice Address 16500 LAUDER LN APT 1205
DALLAS, TX 75248-1772
United States

Phone: 469-222-5828 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNMVNM30451NI
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX65932
No 101YM0800X - Counselor - Mental HealthNMT-0098041