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NPI Code Detail

MEDICARE: SARA VIRGINIA BETANCOURT MARTINEZ LAMFT

MEDICARE: SARA VIRGINIA BETANCOURT MARTINEZ LAMFT
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
1106H00000XMarriage & Family Therapist37FA00034100NJ

General Provider Information

NPI Number : 1770289647
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA VIRGINIA BETANCOURT MARTINEZ LAMFT
Provider Business Mailing Address
First Line : 38 BELLA VISTA AVE
Second Line :
City : SADDLE BROOK
State : NJ
Zip : 07663-4804
Country : US
Telephone Number : 646-404-0008
Fax Number :
Provider Business Practice Location Address
First Line : 15 FARVIEW TER
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2761
Country : US
Telephone Number : 646-404-0008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2023
Last Update Date : 02/21/2023

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Directions to “ SARA VIRGINIA BETANCOURT MARTINEZ LAMFT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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