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Search › Colorado › 101YA0400X

Manuel Martinez, CAC 1

NPI 1881182830 · on the registry since 2018 · sole proprietor

Practice

Address
720 N Main St Ste 240
Pueblo, CO 81003
Phone
(719) 569-7909
Organisation at this address
State Of Grace
State Of Grace
Inner Refuge Therapy
Peaceful Mind Wise Heart Dbt Pllc
Interim Healthcare Of Southeastern Colorado, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-25

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 Colorado