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NPI Code Detail

MEDICARE: MS. ERIKA NICOLE MARTINEZ-GONZALES

MEDICARE: MS. ERIKA NICOLE MARTINEZ-GONZALES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0173531NM

General Provider Information

NPI Number : 1588928568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIKA NICOLE MARTINEZ-GONZALES
Provider Business Mailing Address
First Line : 4169 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-6742
Country : US
Telephone Number : 505-261-9770
Fax Number : 505-212-6747
Provider Business Practice Location Address
First Line : 4169 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-6742
Country : US
Telephone Number : 505-261-9770
Fax Number : 505-212-6747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 12/10/2025

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Directions to “ MS. ERIKA NICOLE MARTINEZ-GONZALES ” Practice Location

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