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Individual
MAGDELINA MARTINEZ
Active
Individual
MAGDELINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC , CADC,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32886
IL
101YP2500X
Professional Counselor
178011444
IL
101YP2500X
Professional Counselor
180012059
IL
101YP2500X
Professional Counselor
Primary
87996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178011444
—
IL
05
—
180012059
—
IL
05
—
87996
—
TX
Enumeration date
11/19/2015
Last updated
08/24/2023
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