MEDICARE: KATHRYN MARTINEZ LAC

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

General Provider Information

NPI Number	:	1588425938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MARTINEZ LAC

Provider Business Mailing Address
First Line	:	2413 E CLEARFIELD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4417
Country	:	US
Telephone Number	:	848-667-6227
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 E CLEARFIELD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4417
Country	:	US
Telephone Number	:	848-667-6227
Fax Number	:

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

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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