| Organization Name: | PATRICIA MARTINEZ BURR, MA, LPCC, NCC |
| NPI Number: | 1699013169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PARICIA MARTINEZ BURR (LICENSED PROFESSIONAL CLINICAL COUN) |
| Mailing Address: | 6666 4th St Nw Suite B Los Ranchos |
| State: | NM US |
| Postal Code: | 871076144 |
| Phone Number: | 5054630472 |
| Fax Number: | 5053447581 |
| NPI Enumeration Date: | 01/17/2013 |
| NPI Last Update Date: | 01/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |