Provider Demographics
NPI:1528556834
Name:MARTINEZ, ROSEMARY (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3739
Mailing Address - Street 2:
Mailing Address - City:ARIZONA CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85123-2429
Mailing Address - Country:US
Mailing Address - Phone:602-332-0943
Mailing Address - Fax:
Practice Address - Street 1:8442 W TROY DR
Practice Address - Street 2:
Practice Address - City:ARIZONA CITY
Practice Address - State:AZ
Practice Address - Zip Code:85123-8921
Practice Address - Country:US
Practice Address - Phone:520-368-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-17138101YP2500X
AZLPC-19808101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional