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Individual

MARK CHRISTOPHER MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
20 W 9TH ST STE 601, KANSAS CITY, MO 64105-1704
(816) 945-7666
Mailing address
13725 HUNTER DR, PLATTE CITY, MO 64079-8320
(816) 945-7666

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016008361
MO

Other

Enumeration date
03/15/2017
Last updated
09/10/2020
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