Individual
BENJAMIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOCIATE
Contact information
Practice address
281 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7052
(469) 200-4093
Mailing address
281 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
97249
TX
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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