Individual
ALFONSO ANDRES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2405 DUNLAY CT APT 1E, WAUKEGAN, IL 60085-4572
(224) 610-9795
Mailing address
2405 DUNLAY CT APT 1E, WAUKEGAN, IL 60085-4572
(224) 610-9797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.019293
IL
Other
Enumeration date
08/25/2023
Last updated
01/27/2025
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