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NPI Code Detail

MEDICARE: JANET A MARTINEZ LMHC

MEDICARE:   JANET A MARTINEZ  LMHC
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 CounselorMH16106FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316429483
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET A MARTINEZ LMHC
Provider Business Mailing Address
First Line : PO BOX 491000
Second Line :
City : LEESBURG
State : FL
Zip : 34749-1000
Country : US
Telephone Number : 352-636-0534
Fax Number : 352-315-7587
Provider Business Practice Location Address
First Line : 1217 HUFFSTETLER DR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-8225
Country : US
Telephone Number : 352-483-1652
Fax Number : 352-360-6656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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Directions to “ JANET A MARTINEZ LMHC” Practice Location

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