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Individual

JAVIER MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
2007 S BLUE ISLAND AVE, CHICAGO, IL 60608-2928

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178015633
IL

Other

Enumeration date
04/30/2022
Last updated
04/30/2022
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