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General NPI Number Information
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NPI Number | 1326484486
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Entity Type | Individual
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Provider Name | ALYSON JOANNE MARTINEZ LCADC, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 480 W BONANZA RD
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City | LAS VEGAS
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State | NV
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Zip | 89106-3227
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Country | US
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Telephone | 702-846-7941
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Fax | 702-382-1766
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Provider Business Mailing Address
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Address Line | 5675 N RILEY ST
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City | LAS VEGAS
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State | NV
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Zip | 89149-3931
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Country | US
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Telephone | 702-846-7941
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Fax | 702-382-1766
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8697-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00580-LC
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8697-C
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License Number State | NV
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