Individual
JON SEBASTIAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 N BROADWAY, GREEN BAY, WI 54303-3426
(956) 206-1130
Mailing address
1686 BIRCHWOOD DR, GREEN BAY, WI 54304-2937
(956) 206-1130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11318125
WI
101YM0800X
Mental Health Counselor
87416
TX
Other
Enumeration date
12/05/2022
Last updated
09/19/2025
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