HAILEY NICOLE MARTINEZ

AMMON, ID
NPI1477082246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-6402)
Enumeration Date2017-06-06
Last Update Date2017-06-06
Business Address
Mrs. HAILEY NICOLE MARTINEZ PhD, LCPC
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Mailing Address
Mrs. HAILEY NICOLE MARTINEZ PhD, LCPC
1979 GRANDVIEW AVE
POCATELLO, ID 83204-3655
Phone number: 208-241-0173
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