| Doctor Name: | PEGGY ANN MARTINEZ |
| NPI Number: | 1144459280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | LCS 14541 |
| Business Practice Address: | 8421 Auburn Blvd Suite 110 Citrus Heights, CA - 956100359 |
| Business Phone Number: | 9168127127 |
| Business Fax Number: | 9164836176 |
| Mailing Address: | Po Box 60582, SACRAMENTO |
| State: | CA |
| Postal Code: | 958600582 |
| Phone Number: | 9168127127 |
| Fax Number: | 9164886018 |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 07/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCS 14541 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |