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NPI Code Detail

MEDICARE: MRS. TAMARA LEE MARTHENS MFT

MEDICARE: MRS. TAMARA LEE MARTHENS MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMFC42967CA
2106H00000XMarriage & Family TherapistMFC42967CA

General Provider Information

NPI Number : 1942372586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMARA LEE MARTHENS MFT
Provider Business Mailing Address
First Line : 200 MICHIGAN AVE
Second Line :
City : VISTA
State : CA
Zip : 92084-5424
Country : US
Telephone Number : 760-726-4900
Fax Number : 760-361-0778
Provider Business Practice Location Address
First Line : 200 MICHIGAN AVE
Second Line :
City : VISTA
State : CA
Zip : 92084-5424
Country : US
Telephone Number : 760-726-4900
Fax Number : 760-361-0778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 09/11/2025

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