Jennifer Anne Martinez
Counselor, Professional in Lawton, OK. Individual provider (NPI-1).
NPI number1760151963
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1760151963
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Anne Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
5305 Nw Ash AveLawton, OK 73505-4639
Phone 580-647-0971
Mailing address
5305 Nw Ash AveLawton, OK 73505-4639
Phone 580-647-0971
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