Individual
JENNIFER ANN MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 CUMBERLAND AVE STE 225, LAFAYETTE, IN 47906-1343
(657) 204-2112
Mailing address
1305 CUMBERLAND AVE STE 225, LAFAYETTE, IN 47906-1343
(765) 204-2112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-6253
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/23/2026
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