Provider Demographics
NPI:1598241960
Name:TRUAX, LINDA MARTINEZ (MBA, LMFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARTINEZ
Last Name:TRUAX
Suffix:
Gender:F
Credentials:MBA, LMFT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:ALICIA
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 S ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-6699
Mailing Address - Country:US
Mailing Address - Phone:805-678-5832
Mailing Address - Fax:805-678-5932
Practice Address - Street 1:4000 S ROSE AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-6699
Practice Address - Country:US
Practice Address - Phone:805-678-5832
Practice Address - Fax:805-678-5892
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health