JACOB ANTHONY MARTINEZ NPI 1356718654

NPI Information

NPI: 1356718654
Provider Name: JACOB ANTHONY MARTINEZ
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7485 N PALM AVE STE 103
FRESNO, CA
ZIP 93711
Phone: (559) 221-8100
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Jacob Anthony Martinez is an addiction (substance use disorder) counselor in Fresno, CA. Jacob Anthony Martinez NPI is 1356718654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7485 N PALM AVE STE 103
FRESNO, CA
ZIP 93711-764
Phone: (559) 221-8100
Fax: (559) 221-8101

The enumeration date for this NPI number is 8/21/2015 and was last updated on 8/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A8253973	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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