MEDICARE: RACHEL LYNN MARTINEZ

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
1	101YP2500X	Professional Counselor	0005890	CO

General Provider Information

NPI Number	:	1144822008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LYNN MARTINEZ

Provider Business Mailing Address
First Line	:	11350 NAVAJO CIR UNIT A
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2461
Country	:	US
Telephone Number	:	720-774-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	11350 NAVAJO CIR UNIT A
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2461
Country	:	US
Telephone Number	:	720-774-0020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2020
Last Update Date	:	11/14/2020

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Directions to “ RACHEL LYNN MARTINEZ ” Practice Location

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