ALFONSO ANDRES MARTINEZ LCPC NPI 1780469197

NPI Information

  • NPI: 1780469197
  • Provider Name: ALFONSO ANDRES MARTINEZ, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2405 DUNLAY CT APT 1E
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (224) 610-9795

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NPI Details

Alfonso Andres Martinez, LCPC is a mental health counselor in Waukegan, IL. Alfonso Andres Martinez, LCPC NPI is 1780469197. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2405 DUNLAY CT APT 1E
WAUKEGAN, IL
ZIP 60085-572
Phone: (224) 610-9795

The enumeration date for this NPI number is 8/25/2023 and was last updated on 1/27/2025.

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
1101YM0800XCounselorMental Health178.019293ILLINOISYes

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: 3/30/2025

NPI Synchronization or Removal

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