SearchCalifornia106H00000X

Kellianne Martinez, MA, LMFT

NPI 1881001915 · on the registry since 2014 · sole proprietor

Practice

Address
512 Teton Ct
Petaluma, CA 94954
Phone
(707) 849-0579

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California