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NPI Code Detail

MEDICARE: CHRISTINA MARTINEZ LPC, LCDC-I

MEDICARE:   CHRISTINA  MARTINEZ  LPC, LCDC-I
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
1101YA0400XAddiction (Substance Use Disorder) Counselor64906TX
2101YM0800XMental Health Counselor94710TX

General Provider Information

NPI Number : 1225966062
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARTINEZ LPC, LCDC-I
Provider Business Mailing Address
First Line : 4901 PADRE BLVD
Second Line :
City : SOUTH PADRE ISLAND
State : TX
Zip : 78597-7320
Country : US
Telephone Number : 956-299-4694
Fax Number :
Provider Business Practice Location Address
First Line : 4901 PADRE BLVD
Second Line :
City : SOUTH PADRE ISLAND
State : TX
Zip : 78597-7320
Country : US
Telephone Number : 956-299-4694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 06/04/2026

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Directions to “ CHRISTINA MARTINEZ LPC, LCDC-I” Practice Location

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