| Alejandro Martinez Jr. Pllc | |
|
1215 Gail Gardner Way Prescott AZ 86305-3423 | |
| (928) 848-6413 | |
| Not Available |
| Full Name | Alejandro Martinez Jr. Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1215 Gail Gardner Way, Prescott, Arizona |
| Authorized Official Name and Position | Alejandro Martinez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9288486413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alejandro Martinez Jr. Pllc Po Box 12052 Prescott AZ 86304-2052 Ph: (928) 848-6413 | Alejandro Martinez Jr. Pllc 1215 Gail Gardner Way Prescott AZ 86305-3423 Ph: (928) 848-6413 |
| NPI Number | 1811769151 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811769151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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