| Jose R Martinez Licensed Mental Health Counselor | |
|
69 Lincoln St New Rochelle NY 10801-4336 | |
| (914) 727-0152 | |
| Not Available |
| Full Name | Jose R Martinez Licensed Mental Health Counselor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 69 Lincoln St, New Rochelle, New York |
| Authorized Official Name and Position | Jose R Martinez Raphael Martinez (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9147270152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose R Martinez Licensed Mental Health Counselor 69 Lincoln St New Rochelle NY 10801-4336 Ph: (914) 727-0152 | Jose R Martinez Licensed Mental Health Counselor 69 Lincoln St New Rochelle NY 10801-4336 Ph: (914) 727-0152 |
| NPI Number | 1891514972 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891514972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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