Jennifer Orta Martinez, QTT
Counselor in Milwaukee, WI. Individual provider (NPI-1).
NPI number1417536152
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1417536152
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Orta Martinez
- Credential
- QTT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | Applied | WI | Yes |
| 102L00000X | Psychoanalyst | – | – |
Practice location
1635 W National AveMilwaukee, WI 53204-1130
Phone 414-672-1353
Mailing address
Po Box 778789Chicago, IL 60677-8789
Phone 414-672-1353
Other practice locations
2906 S 20th St
Milwaukee, WI 53215-3732
Milwaukee, WI 53215-3732
Phone 414-672-1353
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