Jacqueline Martinez, MHP
Counselor, Mental Health in Collinsville, IL. Individual provider (NPI-1).
NPI number1740779487
StatusActive
Last updated in NPPESMay 8, 2018
Details
- NPI
- 1740779487
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Martinez
- Credential
- MHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2018
- Last updated
- May 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
907 N Bluff RdCollinsville, IL 62234-5816
Phone 618-345-9644 · Fax 618-345-6577
Mailing address
603 Waller AveSaint Louis, MO 63125-1512
Phone 314-662-4752
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All 13 Mental Health Counselor providers in Collinsville · All 356 providers in Collinsville
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