Healthcare Provider Details

I. General information

NPI: 1144184128
Provider Name (Legal Business Name): JENNIFER MARTINEZ COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LAUREL ST STE B
SAN CARLOS CA
94070-3964
US

IV. Provider business mailing address

1001 LAUREL ST STE B
SAN CARLOS CA
94070-3964
US

V. Phone/Fax

Practice location:
  • Phone: 650-394-5155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARTINEZ
Title or Position: LMFT #144110
Credential: LMFT
Phone: 650-218-3034