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Individual

DENISE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
13615 BAYVIEW ISLE DRIVE, APT 301, ORLANDO, FL 32824
(407) 440-1828
Mailing address
1431 SIMPSON RD # 1012, KISSIMMEE, FL 34744-4604
(407) 440-1828

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH17917
FL
101YP2500X
Professional Counselor
Primary
LMHC21569
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IMH17917
REGISTERED MENTAL HEALTH COUNSELOR INTERN
FL
01
LMHC21569
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
03/18/2019
Last updated
04/20/2023
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