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Individual

DR. MARTIN CORTEZ WESLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPCC-S. LMHC

Contact information

Practice address
208 APOLLO BEACH BLVD STE 107, APOLLO BEACH, FL 33572-2250
(813) 439-7676
Mailing address
12201 CITRUS LEAF DR, GIBSONTON, FL 33534-5630
(813) 439-7676

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103169
KY
101Y00000X
Counselor
MH17156
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
164838
KY
101YM0800X
Mental Health Counselor
103169
KY
101YM0800X
Mental Health Counselor
MH17156
FL
101YP2500X
Professional Counselor
103169
KY
101YP2500X
Professional Counselor
Primary
KY-0665
KY
101YP2500X
Professional Counselor
MH17156
FL

Other

Enumeration date
03/09/2008
Last updated
11/17/2022
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