Healthcare Provider Details

I. General information

NPI: 1295658862
Provider Name (Legal Business Name): VALERIE MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3908 CARLISLE BLVD NE # 87107
ALBUQUERQUE NM
87107-4504
US

IV. Provider business mailing address

5852 IRVING BLVD NW
ALBUQUERQUE NM
87114-4839
US

V. Phone/Fax

Practice location:
  • Phone: 505-639-5916
  • Fax:
Mailing address:
  • Phone: 505-414-2869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: