Individual
JESSICA CHARLOTTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
11 ORIOLE LN, RATON, NM 87740-3644
(970) 742-4378
Mailing address
11 ORIOLE LN, RATON, NM 87740-3644
(970) 742-4378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
T-0136741
NM
101YM0800X
Mental Health Counselor
Primary
0156111
NM
101YP2500X
Professional Counselor
Primary
CTB-2025-0296
NM
Other
Enumeration date
01/30/2011
Last updated
03/03/2026
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