Provider Demographics
NPI:1821306721
Name:MARTINEZ, MARIA ROCIO (LMFT # 99845)
Entity Type:Individual
Prefix:MISS
First Name:MARIA ROCIO
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LMFT # 99845
Other - Prefix:MISS
Other - First Name:ROSIE
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT #99845
Mailing Address - Street 1:PO BOX 51604
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-2665
Mailing Address - Country:US
Mailing Address - Phone:805-814-8522
Mailing Address - Fax:
Practice Address - Street 1:601 EAST DAILY DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:805-814-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99845106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA174400000XOtherOTHER