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NPI Code Detail

MEDICARE: VANESSA NICOLE MARTINEZ LPC- ASSOCIATE

MEDICARE: VANESSA NICOLE MARTINEZ LPC- ASSOCIATE
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
1101YP2500XProfessional Counselor89897TX

General Provider Information

NPI Number : 1356183495
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA NICOLE MARTINEZ LPC- ASSOCIATE
Provider Business Mailing Address
First Line : 802 W ALABAMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 802 W ALABAMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4602
Country : US
Telephone Number : 832-243-7524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “ VANESSA NICOLE MARTINEZ LPC- ASSOCIATE” Practice Location

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