Individual
JESSICA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2005 ARLINGTON AVE, CALDWELL, ID 83605-4808
(208) 323-9600
Mailing address
1066 N LITTLE CAMAS AVE, STAR, ID 83669-5391
(986) 837-2905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2971065
ID
104100000X
Social Worker
Primary
2971065
ID
1041S0200X
School Social Worker
2971065
ID
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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