Individual
CRYSTAL YVONNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 E JACKSON ST STE 17, HARLINGEN, TX 78550-6849
(956) 536-2169
Mailing address
14617 MCKENZIE LN, HARLINGEN, TX 78552-6767
(956) 536-2169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77197
LPC
TX
Enumeration date
12/03/2021
Last updated
12/03/2021
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