Individual
MARTINESE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, NCC, LPC
Contact information
Practice address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-1306
(662) 281-1326
Mailing address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-1306
(662) 281-1326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081
MISSISSIPPI BOARD OF EXAMINERS FOR LICENSED PROFESSIONALS
MS
Enumeration date
02/20/2017
Last updated
02/20/2017
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