MEDICARE: MRS. JANETTE MARTIN LPC-A

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	101YM0800X	Mental Health Counselor	99734	TX

General Provider Information

NPI Number	:	1508715129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANETTE MARTIN LPC-A

Provider Business Mailing Address
First Line	:	712 TWIN HILLS DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3412
Country	:	US
Telephone Number	:	915-472-0017
Fax Number	:

Provider Business Practice Location Address
First Line	:	7362 REMCON CIR UNIT 552
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-1623
Country	:	US
Telephone Number	:	915-337-1223
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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