Individual
JACQUELINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61344832
WA
101YM0800X
Mental Health Counselor
CG61344832
WA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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