Healthcare Provider Details

I. General information

NPI: 1336325091
Provider Name (Legal Business Name): LEAH MARTINEZ L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W BAKERVIEW RD STE 110
BELLINGHAM WA
98226-8194
US

IV. Provider business mailing address

3773 HAYNIE RD
BLAINE WA
98230-9219
US

V. Phone/Fax

Practice location:
  • Phone: 360-312-7169
  • Fax:
Mailing address:
  • Phone: 360-312-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60324224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: