Individual
MIGUEL ANGEL MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W 15TH ST, KEARNEY, NE 68845-6763
(308) 236-0500
Mailing address
PO BOX 1686, KEARNEY, NE 68848-1686
(308) 236-0500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13097
NE
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/15/2021
Last updated
08/16/2024
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